DEPARTMENT OF INSURANCE

Affiliations

Name	Kurtz, William Thomas	DOIID	585893	NAIC NPN	326867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/1/2004	7/7/2015
Inactive	Non Resident	Agent	Life	3/8/2004	7/7/2015
* 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	4/26/2006	7/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/26/2006	7/1/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/17/2008	8/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/17/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/17/2008	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	8/30/2013
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	3/23/2004	4/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/17/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/17/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/17/2008	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/23/2011	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/23/2011	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/17/2008	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/17/2008	8/30/2013
Inactive	Standard Insurance Company	300185	Agent - Health	10/1/2007	7/7/2015
Inactive	Standard Insurance Company	300185	Agent - Life	3/1/2005	7/7/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	7/7/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	7/7/2015
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	12/6/2004	7/7/2015
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	12/6/2004	7/7/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/31/2005	7/7/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/31/2005	7/7/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/31/2005	7/7/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/31/2005	7/7/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/26/2006	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/26/2006	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/3/2013	7/7/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/3/2013	7/7/2015
Inactive	Medlink Inc	400721	Agent - Life	5/31/2006	7/7/2015
Inactive	Medlink Inc	400721	Agent - Health	5/31/2006	7/7/2015