DEPARTMENT OF INSURANCE
Affiliations
NameMuncy, David WillisDOIID369516NAIC NPN5946912
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities4/2/20041/31/2005 
InactiveNon ResidentAgentHealth11/4/19961/31/2005 
InactiveNon ResidentAgentProperty3/26/20021/31/2005 
InactiveNon ResidentAgentCasualty3/26/20021/31/2005 
InactiveNon ResidentAgentLife11/4/19961/31/2005 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health11/4/19963/31/1997
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life11/4/19963/31/1997
InactiveAssurity Life Insurance Company301099Agent - Health5/15/20037/22/2004
InactiveAssurity Life Insurance Company301099Agent - Life5/15/20037/22/2004
InactiveAthene Annuity & Life Assurance Company301798Agent - Health8/25/20037/22/2004
InactiveAthene Annuity & Life Assurance Company301798Agent - Life8/25/20037/22/2004
InactiveAthene Annuity & Life Assurance Company301798Agent - Variable Life and Variable Annuities4/7/20047/22/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/5/20021/31/2005
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/5/20021/31/2005
InactiveGuarantee Trust Life Insurance Company301043Agent - Health8/26/20024/21/2003
InactiveGuarantee Trust Life Insurance Company301043Agent - Life8/26/20024/21/2003
InactiveIndependent Mutual Fire Insurance Company300851Agent - Casualty3/26/20024/15/2003
InactiveIndependent Mutual Fire Insurance Company300851Agent - Property3/26/20024/15/2003
InactiveLiberty Life Insurance Company301542Agent - Health4/14/20037/22/2004
InactiveLiberty Life Insurance Company301542Agent - Life4/14/20037/22/2004
InactiveModern Woodmen of America301213Agent - Life4/23/20012/18/2002
InactiveMutual of Omaha Insurance Company301012Agent - Health3/12/20015/8/2001
InactiveNationwide Life Insurance Company300495Agent - Health4/9/200412/16/2004
InactiveNationwide Life Insurance Company300495Agent - Life4/9/200412/16/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/9/200412/16/2004
InactivePacific Life Insurance Company301848Agent - Life4/7/20041/31/2005
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities4/7/20041/31/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/16/20005/10/2001
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/16/20005/10/2001
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/15/200411/22/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/15/200411/22/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/15/200411/24/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/15/200411/24/2004
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/11/20014/15/2003
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/11/20014/15/2003
InactiveUnity Mutual Life Insurance Company300100Agent - Health3/6/20001/31/2005
InactiveUnity Mutual Life Insurance Company300100Agent - Life3/6/20004/22/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMedlink Inc400721Agent - Life4/29/20031/31/2005
InactiveMedlink Inc400721Agent - Health4/29/20031/31/2005

© Commonwealth of Kentucky. All rights reserved.