DEPARTMENT OF INSURANCE

Affiliations

Name	Will, David M	DOIID	352130	NAIC NPN	7192415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	7/5/2005		1/31/2026
Active	Resident	Agent	Casualty	7/6/2005		1/31/2026
Active	Resident	Agent	Health	10/20/1992		1/31/2026
Active	Resident	Agent	Life	10/20/1992		1/31/2026
Inactive	Resident	Agent	General Lines	10/20/1992	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	4/16/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/20/2004	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/20/2004	11/22/2007
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	7/27/2005	8/6/2010
Inactive	Allstate Indemnity Company	300778	Agent - Property	7/27/2005	8/6/2010
Inactive	Allstate Insurance Company	300773	Agent - Casualty	7/27/2005	8/6/2010
Inactive	Allstate Insurance Company	300773	Agent - Property	7/27/2005	8/6/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/6/2010
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/6/2010
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	4/11/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	4/11/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/20/2005	4/11/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/20/2005	4/11/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/19/2015	5/15/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/19/2015	5/15/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/5/2018	5/15/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/5/2018	5/15/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/19/2015	5/15/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/19/2015	5/15/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	3/19/2015	5/15/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Property	3/19/2015	5/15/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	7/15/2005	12/9/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	7/15/2005	12/9/2010
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/20/1992	3/31/1998
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/11/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/15/2024	12/12/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/15/2024	12/12/2024
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/2/2015	11/30/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/17/2003	4/16/2004
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/17/2003	4/16/2004
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/12/2017
Active	Bristol West Insurance Company	301655	Agent - Property	12/12/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/2/2015	11/30/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/22/2001	4/24/2004
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/22/2001	4/24/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/19/2015	4/29/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/19/2015	4/29/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	2/19/2015	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	2/19/2015	12/13/2018
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	12/18/2014	5/23/2019
Inactive	Erie Insurance Company	300230	Agent - Casualty	12/18/2014	5/23/2019
Inactive	Erie Insurance Company	300230	Agent - Property	12/18/2014	5/23/2019
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	9/24/2015	5/23/2019
Inactive	Erie Insurance Company of New York	789916	Agent - Property	9/24/2015	5/23/2019
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	12/18/2014	5/23/2019
Inactive	Erie Insurance Exchange	300789	Agent - Property	12/18/2014	5/23/2019
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/24/2015	5/23/2019
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/24/2015	5/23/2019
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/15/2005	8/6/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/15/2005	8/6/2010
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	2/23/2004
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	10/20/1992	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	2/23/2004
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Farmington Casualty Company	301137	Agent - Property	4/2/2015	11/30/2017
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	9/24/2015	5/23/2019
Inactive	Flagship City Insurance Company	789965	Agent - Property	9/24/2015	5/23/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/18/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/18/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/16/2013	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/16/2013	1/5/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	7/25/2016	8/10/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/25/2016	8/10/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/13/2009	8/12/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/13/2009	4/22/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/23/2015	7/15/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/23/2015	7/15/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/23/2015	7/15/2016
Inactive	Grange Insurance Company	300234	Agent - Property	2/23/2015	7/15/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/23/2015	7/15/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/23/2015	7/15/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/17/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/17/2003	3/7/2005
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/6/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/30/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/11/2005	9/8/2010
Active	Humana Insurance Company	301104	Agent - Health	10/25/2023
Inactive	Humana Insurance Company	301104	Agent - Life	7/11/2005	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/11/2005	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/11/2005	9/8/2010
Active	Humana Medical Plan, Inc.	801568	Agent - Health	9/28/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/25/2023
Inactive	HumanaDental Insurance Company	301457	Agent - Health	5/3/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	5/3/2007	9/8/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Justify Holdings, Inc.	1041634	Agent - Health	10/29/2020	3/31/2021
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	2/23/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/20/1992	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	2/23/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/24/2005	8/6/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/24/2005	8/6/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	12/15/2005	12/7/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/22/2006	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/22/2006	11/19/2008
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/3/2021	4/25/2023
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	10/4/2010	1/5/2015
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	10/4/2010	1/5/2015
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Nationwide General Insurance Company	300603	Agent - Property	6/28/2010	1/5/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011	1/5/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011	1/5/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	6/28/2010	1/5/2015
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/28/2010	1/5/2015
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/28/2010	1/5/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	6/28/2010	1/5/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/28/2010	1/5/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	6/28/2010	1/5/2015
Active	North American Company for Life and Health Insurance	300291	Agent - Life	8/15/2024
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/17/2006	12/15/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/17/2006	12/15/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/18/2015	1/27/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/18/2015	1/27/2025
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/15/2005	4/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/15/2005	4/23/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/21/2015	4/11/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/21/2015	4/11/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/21/2015	4/11/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/21/2015	4/11/2024
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/20/1992	2/23/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/20/1992	2/23/2003
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Variable Life and Variable Annuities	12/11/2000	4/16/2004
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/2/2015	11/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/2/2015	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	4/2/2015	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	4/2/2015	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	4/2/2015	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	4/2/2015	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/2/2015	5/26/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	4/2/2015	5/26/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/2/2015	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/2/2015	11/30/2017
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/16/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/16/2023
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	4/2/2015	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	4/2/2015	11/30/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/2/2015	5/26/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/2/2015	5/26/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/2/2015	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/2/2015	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/2/2015	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/2/2015	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	4/2/2015	11/30/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/23/2015	7/15/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/23/2015	7/15/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	2/18/2015	1/27/2025
Inactive	United Financial Casualty Company	301886	Agent - Property	2/18/2015	1/27/2025
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/11/2005	6/8/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/11/2005	6/8/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	6/28/2010	1/5/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	6/28/2010	1/5/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	David M Will Agency, LLC	776025	Agent - Life
Denied	David M Will Agency, LLC	776025	Agent - Health
Active	David M Will Agency, LLC	776025	Agent - Property	3/1/2012
Active	David M Will Agency, LLC	776025	Agent - Casualty	3/1/2012
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/25/2005	11/8/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	8/10/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/3/2017	8/10/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Life	11/16/2023
Active	Humana MarketPOINT Inc.	398092	Agent - Health	10/11/2023
Inactive	Jerry L. Smith & Associates, Inc.	546473	Agent - Life	1/26/2007	3/31/2012
Inactive	Jerry L. Smith & Associates, Inc.	546473	Agent - Health	1/26/2007	3/31/2012
Inactive	Jerry L. Smith & Associates, Inc.	546473	Agent - Property	1/26/2007	3/31/2012
Inactive	Jerry L. Smith & Associates, Inc.	546473	Agent - Casualty	1/26/2007	3/31/2012
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	11/16/1992	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/16/1992	2/23/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/16/1992	2/23/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	2/23/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	2/23/2004
Inactive	Medlink Inc	400721	Agent - Life	6/16/2017	8/10/2019
Inactive	Medlink Inc	400721	Agent - Health	6/16/2017	8/10/2019
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007