DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Clay Wright	DOIID	954863	NAIC NPN	18417015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	5/30/2017		6/30/2027
Active	Resident	Agent	Life	5/30/2017		6/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/3/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/3/2017	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	6/5/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/5/2017	4/15/2025
Active	Hollandstivers Employer Solutions LLC	1073922	Agent - Health	8/13/2020
Inactive	Hollandstivers Employer Solutions LLC	1073922	Agent - Life	8/13/2020	4/15/2025
Inactive	Samsil & Holland, LLC	510802	Agent - Health	6/3/2017	4/16/2021
Inactive	Samsil & Holland, LLC	510802	Agent - Life	6/3/2017	4/16/2021