DEPARTMENT OF INSURANCE

Affiliations

Name	Upchurch, William David	DOIID	597659	NAIC NPN	8045101

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/12/2011	6/30/2026
Active	Non Resident	Agent	Health	1/12/2011	6/30/2026
* 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
Inactive	5 Star Life Insurance Company	300673	Agent - Health	8/29/2013	12/13/2016
Inactive	5 Star Life Insurance Company	300673	Agent - Life	8/29/2013	12/13/2016
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	5/6/2025
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	7/19/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/10/2022	3/29/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/10/2022	3/29/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	3/10/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	3/10/2017	12/23/2019
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	10/9/2014	1/5/2016
Inactive	American National Insurance Company	301861	Agent - Health	10/1/2012	6/14/2021
Active	American National Insurance Company	301861	Agent - Life	10/1/2012
Inactive	American United Life Insurance Company	300498	Agent - Health	3/18/2012	4/22/2013
Inactive	American United Life Insurance Company	300498	Agent - Life	3/18/2012	4/22/2013
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/26/2017	2/8/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/26/2017	2/8/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/14/2017	2/15/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/14/2017	2/15/2017
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/22/2007	6/30/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/22/2007	6/30/2008
Active	Athene Annuity and Life Company	301893	Agent - Life	5/10/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/11/2017	5/13/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	8/11/2017	5/13/2019
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	3/11/2015
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	1/18/2011	8/22/2012
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	1/18/2011	8/22/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	9/11/2015	3/2/2016
Inactive	Continental General Insurance Company	300691	Agent - Health	10/6/2006	12/21/2006
Inactive	Continental General Insurance Company	300691	Agent - Life	10/6/2006	12/21/2006
Inactive	Everly Life Insurance Company	561641	Agent - Life	11/10/2015	11/14/2018
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/4/2021
Active	Forethought Life Insurance Company	301407	Agent - Life	7/19/2024
Active	Gerber Life Insurance Company	300529	Agent - Health	7/18/2016
Active	Gerber Life Insurance Company	300529	Agent - Life	7/18/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/25/2022	12/16/2024
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/25/2022	12/16/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/13/2017	12/30/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/13/2017	12/30/2017
Active	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	6/6/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/6/2017	12/28/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/6/2017	12/28/2018
Inactive	Independent Order of Foresters	300743	Agent - Life	7/4/2017	12/23/2020
Inactive	KSKJ Life	775663	Agent - Life	2/22/2016	2/23/2021
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	9/22/2014	10/12/2015
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	3/2/2015	10/28/2016
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	3/2/2015	10/28/2016
Active	Nassau Life and Annuity Company	513671	Agent - Life	10/9/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	4/24/2008	6/30/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/30/2014	11/2/2015
Active	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	10/30/2019
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	3/26/2019	2/24/2022
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	3/26/2019	2/24/2022
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Health	3/18/2012	4/22/2013
Inactive	Pioneer Mutual Life Insurance Company	501695	Agent - Life	3/18/2012	4/22/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/13/2015	11/23/2017
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/13/2015	11/23/2017
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/18/2013	10/1/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/18/2013	10/1/2015
Active	Revol One Insurance Company	300681	Agent - Life	12/12/2024
Inactive	SILAC Insurance Company	300535	Agent - Health	5/25/2017	1/31/2019
Inactive	SILAC Insurance Company	300535	Agent - Life	5/25/2017	1/31/2019
Active	Standard Life and Casualty Insurance Company	301699	Agent - Health	10/23/2015
Active	Standard Life and Casualty Insurance Company	301699	Agent - Life	10/23/2015
Inactive	State Life Insurance Company	301497	Agent - Health	3/18/2012	5/4/2020
Inactive	State Life Insurance Company	301497	Agent - Life	3/18/2012	5/4/2020
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	6/6/2017	3/7/2018
Inactive	Time Insurance Company	300683	Agent - Health	2/26/2008	6/30/2008
Inactive	Time Insurance Company	300683	Agent - Life	2/26/2008	6/30/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	11/10/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	11/10/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/11/2017	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/11/2017	10/1/2020
Active	Trinity Life Insurance Company	552459	Agent - Life	8/11/2015
Inactive	Unified Life Insurance Company	543169	Agent - Health	3/13/2017	12/12/2017
Inactive	United American Insurance Company	300910	Agent - Health	1/20/2006	6/2/2006
Inactive	United American Insurance Company	300910	Agent - Life	1/20/2006	6/2/2006
Inactive	United Home Life Insurance Company	300421	Agent - Life	6/4/2017	10/31/2018
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/20/2006	6/2/2006
Inactive	United National Life Insurance Company	844837	Agent - Health	6/6/2017	12/28/2018
Inactive	United National Life Insurance Company	844837	Agent - Life	6/6/2017	12/28/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/2/2014	3/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/2/2014	3/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/16/2017	5/24/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/16/2017	5/24/2021
Inactive	Upchurch Assurance Group LLC	1028797	Agent - Life	2/15/2019	3/31/2021
Inactive	Upchurch Assurance Group LLC	1028797	Agent - Health	2/15/2019	3/31/2021