Individual Information

STEPHEN THURMOND

CHATTANOOGA, TN 37411-4711

Active

sthurmo@gmail.com

12/05/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3504181	12/05/2019	Active	12/05/2019	12/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/05/2019	Active	12/05/2019
Health	12/05/2019	Active	12/05/2019
Life	12/05/2019	Active	12/05/2019
Property	12/05/2019	Active	12/05/2019
Limited Fixed Annuities	12/05/2019	Inactive	12/31/2019

Company Name	Appointment Type	Status	Active Date
1026
ACCENDO INSURANCE COMPANY	Life	Active	07/08/2020
1460
Company Name	Appointment Type	Status	Active Date
ALPHA DENTAL OF NEVADA INC	Health	Active	05/20/2024
157886
Company Name	Appointment Type	Status	Active Date
AMERICAN BENEFIT LIFE INSURANCE COMPANY	Health	Active	01/14/2022
144156
Company Name	Appointment Type	Status	Active Date
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY	Health	Active	08/30/2023
505
Company Name	Appointment Type	Status	Active Date
CIGNA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	06/05/2024
203
Company Name	Appointment Type	Status	Active Date
DELTA DENTAL INSURANCE COMPANY	Health	Active	05/20/2024
1435
Company Name	Appointment Type	Status	Active Date
EPIC LIFE INSURANCE COMPANY (THE)	Health	Active	01/05/2023
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	05/02/2023
	Life	Active	05/02/2023
337
Company Name	Appointment Type	Status	Active Date
INSURANCE COMPANY OF NORTH AMERICA	Health	Active	08/08/2025
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	07/22/2024

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
FORWARD FINANCIAL	Designated Resp Lic Prdcr	Agency	07/25/2024	-

1 - 1