DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tandy, David Warren	DOIID	829765	NAIC NPN	17139648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/14/2017	12/31/2020
Inactive	Resident	Agent	Life	3/14/2017	12/31/2020
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/21/2018	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/21/2018	12/31/2020
Inactive	Protective Life Insurance Company	300638	Agent - Health	9/2/2018	12/31/2020
Inactive	Protective Life Insurance Company	300638	Agent - Life	9/2/2018	12/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/22/2018	12/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/22/2018	12/31/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/22/2018	12/31/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/22/2018	12/31/2020

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 - Health	11/21/2018	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/21/2018	12/31/2020
Inactive	Iserve Advisors, LLC	657312	Agent - Health	8/22/2018	12/31/2020
Inactive	Iserve Advisors, LLC	657312	Agent - Life	8/22/2018	12/31/2020
Inactive	Medlink Inc	400721	Agent - Health	11/14/2018	12/31/2020
Inactive	Medlink Inc	400721	Agent - Life	11/14/2018	12/31/2020