DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Michael	DOIID	378837	NAIC NPN	7204057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/27/2003		5/31/2027
Active	Resident	Agent	Life	8/27/2003		5/31/2027
* 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
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/27/2003	11/8/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/27/2003	11/8/2004
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/27/2003
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/27/2003
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2007	12/14/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/10/2007	12/14/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/10/2007	12/14/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/27/2003	12/5/2011
Inactive	General American Life Insurance Company	300280	Agent - Health	4/16/1993	10/9/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	4/16/1993	10/9/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/5/1997	4/27/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/5/1997	4/27/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/21/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/21/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/27/2003	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/27/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/27/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/27/2003	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	8/27/2003	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	8/27/2003	3/31/2024