DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Michael	DOIID	378837	NAIC NPN	7204057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/27/2003		5/31/2027
Active	Resident	Agent	Life	8/27/2003		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	05/29/2025	05/29/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	8/27/2003	11/8/2004
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	8/27/2003	11/8/2004
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/27/2003
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/27/2003
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/10/2007	12/14/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/10/2007	12/14/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/10/2007	12/14/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/27/2003	12/5/2011
Inactive	General American Life Insurance Company	300280	Agent - Health	4/16/1993	10/9/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	4/16/1993	10/9/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/5/1997	4/27/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/5/1997	4/27/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	2/21/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	2/21/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/27/2003	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/27/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/27/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/27/2003	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	8/27/2003	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	8/27/2003	3/31/2024