DEPARTMENT OF INSURANCE
Affiliations
NameUpchurch, William DavidDOIID597659NAIC NPN8045101
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/12/2011 6/30/2026
ActiveNon ResidentAgentHealth1/12/2011 6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202606/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Health8/29/201312/13/2016
Inactive5 Star Life Insurance Company300673Agent - Life8/29/201312/13/2016
ActiveAllianz Life Insurance Company of North America301791Agent - Life5/6/2025 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/19/2023 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/10/20223/29/2023
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/10/20223/29/2023
InactiveAmerican General Life Insurance Company301585Agent - Health3/10/201712/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life3/10/201712/23/2019
InactiveAmerican Memorial Life Insurance Company301445Agent - Life10/9/20141/5/2016
InactiveAmerican National Insurance Company301861Agent - Health10/1/20126/14/2021
ActiveAmerican National Insurance Company301861Agent - Life10/1/2012 
InactiveAmerican United Life Insurance Company300498Agent - Health3/18/20124/22/2013
InactiveAmerican United Life Insurance Company300498Agent - Life3/18/20124/22/2013
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health6/26/20172/8/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life6/26/20172/8/2018
InactiveAnthem Life Insurance Company301209Agent - Health2/14/20172/15/2017
InactiveAnthem Life Insurance Company301209Agent - Life2/14/20172/15/2017
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/22/20076/30/2008
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/22/20076/30/2008
ActiveAthene Annuity and Life Company301893Agent - Life5/10/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health8/11/20175/13/2019
InactiveCIGNA Health & Life Insurance Company301783Agent - Life8/11/20175/13/2019
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health10/9/2025 
ActiveClear Spring Life and Annuity Company300919Agent - Life3/11/2015 
InactiveColorado Bankers Life Insurance Company301845Agent - Health1/18/20118/22/2012
InactiveColorado Bankers Life Insurance Company301845Agent - Life1/18/20118/22/2012
InactiveColumbian Life Insurance Company300810Agent - Life9/11/20153/2/2016
InactiveContinental General Insurance Company300691Agent - Health10/6/200612/21/2006
InactiveContinental General Insurance Company300691Agent - Life10/6/200612/21/2006
InactiveEverly Life Insurance Company561641Agent - Life11/10/201511/14/2018
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life11/4/2021 
ActiveForethought Life Insurance Company301407Agent - Life7/19/2024 
ActiveGerber Life Insurance Company300529Agent - Health7/18/2016 
ActiveGerber Life Insurance Company300529Agent - Life7/18/2016 
InactiveGlobe Life and Accident Insurance Company300639Agent - Health7/25/202212/16/2024
InactiveGlobe Life and Accident Insurance Company300639Agent - Life7/25/202212/16/2024
InactiveGolden Rule Insurance Company301943Agent - Health2/13/201712/30/2017
InactiveGolden Rule Insurance Company301943Agent - Life2/13/201712/30/2017
ActiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/6/2021 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health6/6/201712/28/2018
InactiveGuarantee Trust Life Insurance Company301043Agent - Life6/6/201712/28/2018
InactiveIndependent Order of Foresters300743Agent - Life7/4/201712/23/2020
InactiveKSKJ Life775663Agent - Life2/22/20162/23/2021
InactiveLiberty Bankers Life Insurance Company542461Agent - Life9/22/201410/12/2015
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health3/2/201510/28/2016
InactiveManhattanLife Insurance and Annuity Company301795Agent - Life3/2/201510/28/2016
ActiveNassau Life and Annuity Company513671Agent - Life10/9/2020 
InactiveNational Guardian Life Insurance Company300596Agent - Health4/24/20086/30/2008
InactiveNational Guardian Life Insurance Company300596Agent - Life9/30/201411/2/2015
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life10/30/2019 
InactivePhiladelphia American Life Insurance Company300178Agent - Health3/26/20192/24/2022
InactivePhiladelphia American Life Insurance Company300178Agent - Life3/26/20192/24/2022
InactivePioneer Mutual Life Insurance Company501695Agent - Health3/18/20124/22/2013
InactivePioneer Mutual Life Insurance Company501695Agent - Life3/18/20124/22/2013
InactiveProtective Life Insurance Company300638Agent - Health7/13/201511/23/2017
InactiveProtective Life Insurance Company300638Agent - Life7/13/201511/23/2017
InactiveReserve National Insurance Company301073Agent - Health9/18/201310/1/2015
InactiveReserve National Insurance Company301073Agent - Life9/18/201310/1/2015
ActiveRevol One Insurance Company300681Agent - Life12/12/2024 
InactiveSILAC Insurance Company300535Agent - Health5/25/20171/31/2019
InactiveSILAC Insurance Company300535Agent - Life5/25/20171/31/2019
ActiveStandard Life and Casualty Insurance Company301699Agent - Health10/23/2015 
ActiveStandard Life and Casualty Insurance Company301699Agent - Life10/23/2015 
InactiveState Life Insurance Company301497Agent - Health3/18/20125/4/2020
InactiveState Life Insurance Company301497Agent - Life3/18/20125/4/2020
InactiveThrivent Financial for Lutherans301101Agent - Health6/6/20173/7/2018
InactiveTime Insurance Company300683Agent - Health2/26/20086/30/2008
InactiveTime Insurance Company300683Agent - Life2/26/20086/30/2008
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/202011/10/2020
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/202011/10/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Health4/11/201710/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life4/11/201710/1/2020
ActiveTrinity Life Insurance Company552459Agent - Life8/11/2015 
InactiveUnified Life Insurance Company543169Agent - Health3/13/201712/12/2017
InactiveUnited American Insurance Company300910Agent - Health1/20/20066/2/2006
InactiveUnited American Insurance Company300910Agent - Life1/20/20066/2/2006
InactiveUnited Home Life Insurance Company300421Agent - Life6/4/201710/31/2018
InactiveUnited Investors Life Insurance Company301873Agent - Life1/20/20066/2/2006
InactiveUnited National Life Insurance Company844837Agent - Health6/6/201712/28/2018
InactiveUnited National Life Insurance Company844837Agent - Life6/6/201712/28/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/2/20143/22/2016
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/2/20143/22/2016
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/9/2025 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/9/2025 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life2/16/20175/24/2021
InactiveDesignated Agent Company Inc.681257Agent - Health2/16/20175/24/2021
InactiveUpchurch Assurance Group LLC1028797Agent - Life2/15/20193/31/2021
InactiveUpchurch Assurance Group LLC1028797Agent - Health2/15/20193/31/2021

© Commonwealth of Kentucky. All rights reserved.