DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Beneke, Thomas Patrick	DOIID	305818	NAIC NPN	90855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/28/1993	9/11/2009
Inactive	Resident	Agent	Credit Life & Health	7/7/1993	5/20/1996
Inactive	Resident	Agent	Health	6/28/1993	9/10/2009
* 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	American Heritage Life Insurance Company	300272	Agent - Health	4/22/1994	8/16/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/22/1994	8/16/2004
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	7/20/1993	4/12/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	7/20/1993	4/12/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/28/1993	9/10/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/28/1993	9/11/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/10/2005	9/10/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/10/2005	9/11/2009
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/28/1994	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/28/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens National Bank	398169	Agent - Credit Life & Health	7/7/1993	5/20/1996
Inactive	Citizens National Bank	398169	Agent - Life	8/11/2003	9/11/2009
Inactive	Citizens National Bank	398169	Agent - Health	8/11/2003	9/10/2009