PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameUpchurch Assurance Group LLCDOIID1028797NAIC NPN19043475
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/15/20193/31/2021 
InactiveNon ResidentAgentLife2/15/20193/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Health2/22/20192/26/2019
Inactive5 Star Life Insurance Company300673Agent - Life2/22/20192/26/2019
InactivePhiladelphia American Life Insurance Company300178Agent - Health3/26/20193/31/2021
InactivePhiladelphia American Life Insurance Company300178Agent - Life3/26/20193/31/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUpchurch, William David 597659Agent - Health2/15/20193/31/2021
InactiveUpchurch, William David 597659Agent - Life2/15/20193/31/2021

© Commonwealth of Kentucky. All rights reserved.