DEPARTMENT OF INSURANCE

Affiliations

Name	David, Beverly	DOIID	851762	NAIC NPN	17339595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/3/2022		10/31/2025
Active	Non Resident	Agent	Health	11/3/2022		10/31/2025
Inactive	Non Resident	Agent	Personal Lines	7/12/2019	10/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	4/8/2019	11/5/2021
Active	Accendo Insurance Company	300312	Agent - Life	4/22/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/26/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/24/2017	10/31/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/26/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/14/2017	10/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	8/24/2017	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/1/2018	9/24/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/1/2018	9/24/2018
Active	American General Life Insurance Company	301585	Agent - Health	3/26/2024
Active	American General Life Insurance Company	301585	Agent - Life	3/26/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/20/2017	12/19/2018
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/27/2020	10/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/27/2020	5/6/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/29/2020	5/6/2021
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	1/12/2024	5/8/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/13/2017	5/28/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/13/2017	5/28/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/10/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/30/2019	12/8/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/30/2019	12/8/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/18/2017	3/8/2019
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/18/2017	3/8/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/24/2017	10/31/2021
Inactive	Federal Insurance Company	301144	Agent - Health	4/8/2019	11/5/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/1/2016	10/31/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	7/19/2019	8/10/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/10/2019	10/31/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/10/2019	10/31/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/24/2016	2/14/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/24/2016	2/14/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2016	2/14/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2016	2/14/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2016	2/14/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/24/2016	2/14/2018
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	2/17/2017	5/15/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	12/19/2018	3/15/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/26/2021	3/15/2021
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/18/2019	11/19/2019
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/16/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/16/2022
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/13/2015	10/9/2015
Active	SilverScript Insurance Company	663526	Agent - Health	9/26/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	11/16/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/16/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/16/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	7/19/2019	8/10/2019
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	7/19/2019	8/10/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/11/2019	10/22/2020
Active	United Home Life Insurance Company	300421	Agent - Life	4/1/2024
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	7/19/2019	8/10/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/30/2016	2/9/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/30/2016	2/9/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/13/2015	10/9/2015
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/5/2024
Active	Unum Insurance Company	301499	Agent - Health	11/16/2022
Active	Unum Insurance Company	301499	Agent - Life	11/16/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/29/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/29/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/30/2019	5/7/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/30/2019	5/7/2021
Inactive	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022	8/21/2024
Inactive	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022	8/21/2024
Inactive	Sutherland Global Services Inc	601788	Agent - Health	2/22/2018	2/14/2019
Inactive	Sutherland Global Services Inc	601788	Agent - Life	2/22/2018	2/24/2020