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DEPARTMENT OF INSURANCE
Affiliations
Name
Carroll, David Wayne
DOIID
575220
NAIC NPN
7842600
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
2/15/2005
2/1/2024
Inactive
Resident
Agent
Life
2/15/2005
2/1/2024
Inactive
Resident
Agent
Casualty
11/27/2012
2/1/2024
Inactive
Resident
Agent
Property
11/27/2012
2/1/2024
Withdrawn
Resident
Agent
Personal Lines
* 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
Denied
Allianz Life Insurance Company of North America
301791
Agent - Health
Denied
Allianz Life Insurance Company of North America
301791
Agent - Life
Inactive
Allied Insurance Company of America
793586
Agent - Casualty
2/15/2020
2/1/2024
Inactive
Allied Insurance Company of America
793586
Agent - Property
2/15/2020
2/1/2024
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Health
5/14/2005
4/14/2008
Inactive
American Bankers Life Assurance Company of Florida
300171
Agent - Life
5/14/2005
4/14/2008
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
10/31/2005
2/1/2024
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
10/31/2005
2/1/2024
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
1/14/2013
8/30/2013
Inactive
Bristol West Insurance Company
301655
Agent - Property
1/14/2013
8/30/2013
Denied
C.M. Life Insurance Company
301335
Agent - Health
Denied
C.M. Life Insurance Company
301335
Agent - Life
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
4/9/2009
11/30/2010
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
4/9/2009
11/30/2010
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/11/2011
7/10/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Health
1/11/2011
12/13/2011
Inactive
CompBenefits Insurance Company
301864
Agent - Life
1/11/2011
12/13/2011
Inactive
Continental American Insurance Company
301700
Agent - Health
4/27/2020
2/1/2024
Inactive
Continental American Insurance Company
301700
Agent - Life
4/27/2020
2/1/2024
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
7/10/2013
Inactive
Farmers Casualty Insurance Company
301616
Agent - Casualty
3/7/2013
8/29/2013
Inactive
Farmers Casualty Insurance Company
301616
Agent - Property
3/7/2013
8/29/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
3/7/2013
8/29/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
3/7/2013
8/29/2013
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
1/14/2013
8/30/2013
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
1/14/2013
8/30/2013
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
5/17/2007
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
5/17/2007
12/7/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/26/2005
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/26/2005
11/10/2008
Inactive
GuideOne Elite Insurance Company
300490
Agent - Casualty
7/17/2013
8/26/2013
Inactive
GuideOne Elite Insurance Company
300490
Agent - Property
7/17/2013
8/26/2013
Inactive
GuideOne Insurance Company
301794
Agent - Casualty
7/17/2013
8/26/2013
Inactive
GuideOne Insurance Company
301794
Agent - Property
7/17/2013
8/26/2013
Inactive
GuideOne Specialty Insurance Company
300278
Agent - Casualty
7/17/2013
8/26/2013
Inactive
GuideOne Specialty Insurance Company
300278
Agent - Property
7/17/2013
8/26/2013
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/12/2007
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Health
9/12/2007
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Life
9/12/2007
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
9/12/2007
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
9/12/2007
7/10/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Health
5/2/2012
12/19/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
5/2/2012
12/19/2012
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
Denied
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
Denied
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
11/12/2003
12/23/2003
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Casualty
1/6/2014
2/1/2024
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Property
1/6/2014
2/1/2024
Inactive
Nationwide Assurance Company
300166
Agent - Casualty
3/4/2020
2/1/2024
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
1/6/2014
2/1/2024
Inactive
Nationwide General Insurance Company
300603
Agent - Property
1/6/2014
2/1/2024
Inactive
Nationwide Insurance Company of America
300333
Agent - Casualty
1/6/2014
2/1/2024
Inactive
Nationwide Insurance Company of America
300333
Agent - Property
1/6/2014
2/1/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
1/6/2014
12/12/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/6/2014
12/12/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
1/6/2014
12/12/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
1/6/2014
12/12/2022
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Casualty
1/6/2014
1/1/2023
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Property
1/6/2014
1/1/2023
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
1/6/2014
2/1/2024
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
1/6/2014
2/1/2024
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
1/6/2014
2/1/2024
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
1/6/2014
2/1/2024
Inactive
New York Life Insurance Company
300431
Agent - Health
11/12/2003
12/23/2003
Inactive
New York Life Insurance Company
300431
Agent - Life
11/12/2003
12/23/2003
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
11/12/2003
12/23/2003
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
11/12/2003
12/23/2003
Denied
PacifiCare Life and Health Insurance Company
301304
Agent - Health
Denied
PacifiCare Life and Health Insurance Company
301304
Agent - Life
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
11/4/2020
6/12/2023
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
11/4/2020
6/12/2023
Inactive
Trustmark Insurance Company
300317
Agent - Health
3/20/2010
1/18/2016
Inactive
Trustmark Insurance Company
300317
Agent - Life
3/20/2010
1/18/2016
Inactive
United Financial Casualty Company
301886
Agent - Casualty
11/4/2020
6/12/2023
Inactive
United Financial Casualty Company
301886
Agent - Property
11/4/2020
6/12/2023
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
11/15/2007
6/21/2010
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
11/15/2007
6/7/2021
Inactive
Victoria Fire & Casualty Company
300313
Agent - Casualty
1/6/2014
8/22/2018
Inactive
Victoria Fire & Casualty Company
300313
Agent - Property
1/6/2014
8/22/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
7/9/2007
2/1/2024
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/13/2013
2/1/2024
Inactive
Designated Agent Company Inc.
681257
Agent - Life
2/1/2022
2/1/2024
Inactive
Medlink Inc
400721
Agent - Health
11/13/2009
2/1/2024
Inactive
Medlink Inc
400721
Agent - Life
2/1/2022
2/1/2024
Inactive
Quality Ins Of Kentucky LLC
787785
Agent - Casualty
1/14/2013
8/26/2013
Inactive
Quality Ins Of Kentucky LLC
787785
Agent - Property
1/14/2013
8/26/2013
Inactive
The MPM Group LLC
550302
Agent - Health
3/1/2007
2/1/2024
Inactive
The MPM Group LLC
550302
Agent - Life
3/1/2007
2/1/2024
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