DEPARTMENT OF INSURANCE

Affiliations

Name	Shadowens, Thomas Harold	DOIID	304854	NAIC NPN	1889982

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/10/1991	3/31/2004
Inactive	Non Resident	Agent	Life	10/10/1991	3/31/2004
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/16/1995	3/31/1997
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/16/1995	3/31/1997
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/8/1995	1/12/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/8/1995	1/12/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/10/1991	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/10/1991	3/31/1997
Inactive	Financial Benefit Life Insurance Company	301049	Agent - Life	4/23/1993	2/19/2001
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	9/27/1994	3/31/1997
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	9/27/1994	3/31/1997
Inactive	London Pacific Life & Annuity Company	300371	Agent - Health	3/14/1995	3/31/1997
Inactive	London Pacific Life & Annuity Company	300371	Agent - Life	3/14/1995	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	5/2/1995	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	5/2/1995	3/31/1997
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	3/28/1994	7/20/1998
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	3/28/1994	7/20/1998
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	5/3/1995	12/23/1998
Inactive	USG Annuity & Life Company	300457	Agent - Health	12/3/1993	8/12/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	12/3/1993	10/2/2002
Inactive	Union Bankers Insurance Company	301769	Agent - Health	6/12/1992	3/24/1997
Inactive	Union Bankers Insurance Company	301769	Agent - Life	6/12/1992	3/24/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thompson Associates Inc.	398584	Agent - Life	8/5/1992	11/23/1998
Inactive	Thompson Associates Inc.	398584	Agent - Health	8/5/1992	11/23/1998