DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phil Grundy Insurance	DOIID	1107519	NAIC NPN	19693252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/8/2022		3/31/2026
Active	Resident	Agent	Health	6/8/2022		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/8/2022
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/8/2022
Active	Continental American Insurance Company	301700	Agent - Health	10/4/2022
Active	Continental American Insurance Company	301700	Agent - Life	10/4/2022
Inactive	Nippon Life Insurance Company of America	300446	Agent - Health	11/1/2020	3/31/2022
Inactive	Nippon Life Insurance Company of America	300446	Agent - Life	11/1/2020	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Grundy, Phillip W	521544	Agent - Health	6/8/2022
Active	Grundy, Phillip W	521544	Agent - Life	6/8/2022