DEPARTMENT OF INSURANCE

Affiliations

Name	Bundy, Charles Shane	DOIID	387118	NAIC NPN	7207675

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	12/3/2020		7/31/2024
Active	Resident	Agent	Life	12/3/2020		7/31/2024
Active	Resident	Agent	Casualty	12/3/2020		7/31/2024
Active	Resident	Agent	Property	12/3/2020		7/31/2024
Inactive	Resident	Agent	Limited Line Credit	12/7/2001	9/30/2004
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/22/2021
Inactive	Accordia Life and Annuity Company	502966	Agent - Life	11/24/2019	8/26/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/22/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/16/2021	11/8/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/27/1997	12/22/1997
Inactive	American General Life Insurance Company	301585	Agent - Health	12/13/2019	7/31/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	12/13/2019	7/31/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/13/2007	11/9/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/13/2007	11/9/2007
Inactive	American National Insurance Company	301861	Agent - Life	12/12/2019	7/31/2020
Inactive	American United Life Insurance Company	300498	Agent - Health	4/26/2011	11/21/2011
Inactive	American United Life Insurance Company	300498	Agent - Life	4/26/2011	11/21/2011
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/4/2018	7/31/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/30/2020	10/19/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/8/2018	7/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/8/2018	7/31/2020
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/15/2020	3/14/2022
Denied	Bankers Life and Casualty Company	300701	Agent - Health
Denied	Bankers Life and Casualty Company	300701	Agent - Life
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/10/2010	8/9/2013
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/4/2010	11/2/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/4/2010	11/2/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/19/2012	11/19/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/19/2012	11/19/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/17/1996	2/3/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/17/1996	2/3/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/25/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/25/2010	10/20/2011
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/22/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/22/2021
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/9/2006	8/23/2007
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/9/2006	8/23/2007
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	7/19/2019	7/31/2020
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	3/22/2010	8/1/2016
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	10/20/2006	9/24/2007
Inactive	FB Insurance Company (The)	301763	Agent - Health	10/26/2006	9/24/2007
Inactive	FB Insurance Company (The)	301763	Agent - Property	10/20/2006	9/24/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/11/2020	10/31/2022
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/25/2010	1/19/2015
Inactive	First National Insurance Company of America	301690	Agent - Property	10/25/2010	1/19/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/10/2006	8/28/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/10/2006	8/28/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/25/2010	1/19/2015
Inactive	General Insurance Company of America	300261	Agent - Property	10/25/2010	1/19/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/23/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/23/2010	12/7/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	1/23/2008	10/19/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/25/2010	1/19/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	10/25/2010	1/19/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/7/2001	9/30/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/20/2006	8/9/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	10/26/2006	8/9/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/20/2006	8/9/2007
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	8/27/2007	11/12/2007
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	8/27/2007	11/12/2007
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	12/17/2018	7/31/2020
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	12/17/2018	7/31/2020
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	1/22/1997	7/1/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	1/22/1997	7/1/1998
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	1/17/2008	5/14/2008
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	1/17/2008	5/14/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/16/2009	8/29/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/16/2009	8/29/2011
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/11/2009	4/15/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/11/2009	4/15/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	8/20/2009	4/15/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/20/2009	4/15/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/6/2012	10/8/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Life	2/14/2013	8/1/2016
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/15/2019	7/31/2020
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/15/2019	7/31/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/1/2010	12/15/2011
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	1/4/2008	11/16/2009
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	1/4/2008	11/16/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/29/2019	7/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/25/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/25/2010	10/20/2011
Inactive	New York Life Insurance Company	300431	Agent - Health	1/4/2008	11/16/2009
Inactive	New York Life Insurance Company	300431	Agent - Life	1/4/2008	11/16/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	1/4/2008	11/16/2009
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/4/2008	11/16/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/25/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/25/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/25/2010	1/19/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	10/25/2010	1/19/2015
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Health	4/26/2011	11/21/2011
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Life	4/26/2011	11/21/2011
Inactive	Primerica Life Insurance Company	300970	Agent - Life	6/7/1995	7/1/1996
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/25/2010	1/19/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/25/2010	1/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/25/2010	1/19/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/25/2010	1/19/2015
Active	Security Benefit Life Insurance Company	300583	Agent - Life	12/4/2020
Inactive	Settlers Life Insurance Company	300189	Agent - Health	10/27/1997	7/1/1998
Inactive	Settlers Life Insurance Company	300189	Agent - Life	10/27/1997	7/1/1998
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/26/2006	9/24/2007
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/26/2006	9/24/2007
Inactive	State Life Insurance Company	301497	Agent - Health	4/26/2011	11/21/2011
Inactive	State Life Insurance Company	301497	Agent - Life	4/26/2011	11/21/2011
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	6/11/2018	8/31/2020
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/14/2021
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/14/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/19/2018	11/11/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/19/2018	11/11/2019
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	8/15/2012	6/6/2013
Inactive	Union Central Life Insurance Company	300307	Agent - Health	9/9/2008	11/20/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Life	9/9/2008	11/20/2008
Inactive	United American Insurance Company	300910	Agent - Health	3/6/2018	2/25/2019
Inactive	United American Insurance Company	300910	Agent - Life	3/6/2018	2/25/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/1/2010	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/1/2010	12/15/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	3/23/2010	11/16/2011
Inactive	Woman's Life Insurance Society	300952	Agent - Life	7/29/2020	7/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CMI P&C, Inc.	600128	Agent - Casualty
Denied	CMI P&C, Inc.	600128	Agent - Property
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2018	7/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2018	7/31/2020
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/1/2006	8/9/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/1/2006	8/9/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	11/1/2006	8/9/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	11/1/2006	8/9/2007
Inactive	Medlink Inc	400721	Agent - Life	5/4/2012	8/1/2016
Inactive	Medlink Inc	400721	Agent - Health	5/4/2012	11/2/2015
Inactive	Privett Ins Group	712161	Agent - Casualty	11/30/2010	1/19/2015
Inactive	Privett Ins Group	712161	Agent - Property	11/30/2010	1/19/2015
Inactive	Thoroughbred Financial Agency, LLC	398995	Agent - Life	2/3/2010	8/1/2016
Inactive	Thoroughbred Financial Agency, LLC	398995	Agent - Health	2/3/2010	11/2/2015