DEPARTMENT OF INSURANCE

Affiliations

Name	Cundy, Thomas Carroll	DOIID	313583	NAIC NPN	333053

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/23/1987	10/2/2014
Inactive	Non Resident	Agent	Health	7/23/1987	10/2/2014
Inactive	Non Resident	Agent	Prepaid Dental Plan	2/7/2000	3/1/2001
* 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	Aetna Health Inc.	300694	Agent - Health	5/18/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	10/13/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/18/2005	10/13/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/18/2005	10/13/2014
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	11/15/2000	7/2/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	11/15/2000	7/2/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/13/2010	10/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/13/2010	10/19/2014
Inactive	American General Assurance Company	300586	Agent - Health	5/8/2001	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	4/26/2001	12/31/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	10/2/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	10/2/2014
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/17/2005	2/26/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	2/26/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/28/1999	9/12/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/28/1999	9/12/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/15/2005	3/27/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/15/2005	3/27/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/28/2008	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/28/2008	12/22/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/3/1989	10/2/2014
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/3/1989	10/2/2014
Inactive	CHA HMO, Inc.	300662	Agent - Health	5/13/2002	11/17/2004
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/15/1997	10/2/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/15/1997	10/2/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2005	8/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/1/2002	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/1/2002	6/26/2013
Inactive	CompDent Corporation	301387	Agent - Health	8/1/2002	12/23/2004
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	12/27/1999	2/13/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	12/27/1999	2/13/2014
Inactive	Continental American Insurance Company	301700	Agent - Health	9/20/2002	10/7/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	9/20/2002	10/7/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/30/2013
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	2/7/2000	3/1/2001
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/27/1995	12/20/2006
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	2/28/2008	12/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/28/2008	12/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/28/2008	12/22/2011
Inactive	HM Life Insurance Company	301408	Agent - Health	10/24/2006	12/10/2014
Inactive	HM Life Insurance Company	301408	Agent - Life	10/24/2006	12/10/2014
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	4/9/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	4/9/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/24/2003	3/21/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/24/2003	3/21/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/19/2009	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	2/19/2009	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/2009	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/19/2009	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/19/2009	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/19/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/19/2009	2/23/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/4/1998	5/28/2010
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/4/1998	5/28/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/19/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/19/2009	4/25/2013
Inactive	Life Insurance Company of North America	300711	Agent - Health	10/21/1999	2/13/2014
Inactive	Life Insurance Company of North America	300711	Agent - Life	10/21/1999	2/13/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/1/1996	10/2/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	4/1/1996	10/2/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	1/12/2007	6/20/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/12/2007	6/20/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/30/2000	9/25/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/30/2000	9/25/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/17/2003	10/2/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/17/2003	10/2/2014
Inactive	Pacific Life Insurance Company	301848	Agent - Health	3/2/1995	10/2/2014
Inactive	Pacific Life Insurance Company	301848	Agent - Life	3/2/1995	10/2/2014
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/28/1999	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/28/1999	11/23/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/23/1987	10/2/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/23/1987	10/2/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/16/1994	10/14/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/16/1994	10/14/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/15/2002	10/2/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/15/2002	10/2/2014
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	1/21/2009	11/16/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	1/21/2009	11/16/2011
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/7/1993	10/2/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/7/1993	10/2/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	7/21/1999	11/3/2014
Inactive	Union Security Insurance Company	301844	Agent - Life	7/21/1999	11/3/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/10/2003	2/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/10/2003	2/27/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/10/2003	2/27/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/29/2006	2/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cundy Inc	597005	Agent - Life	11/1/2004	10/2/2014
Inactive	Cundy Inc	597005	Agent - Health	11/1/2004	10/2/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	3/28/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	3/28/2014
Inactive	Medlink Inc	400721	Agent - Life	11/17/2005	10/2/2014
Inactive	Medlink Inc	400721	Agent - Health	11/17/2005	10/2/2014