DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phil Grundy Insurance	DOIID	1107519	NAIC NPN	19693252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/8/2022		3/31/2026
Active	Resident	Agent	Life	6/8/2022		3/31/2026
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/8/2022
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/8/2022
Active	Continental American Insurance Company	301700	Agent - Health	10/4/2022
Active	Continental American Insurance Company	301700	Agent - Life	10/4/2022
Inactive	Nippon Life Insurance Company of America	300446	Agent - Health	11/1/2020	3/31/2022
Inactive	Nippon Life Insurance Company of America	300446	Agent - Life	11/1/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Grundy, Phillip W	521544	Agent - Health	6/8/2022
Active	Grundy, Phillip W	521544	Agent - Life	6/8/2022