DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Poland, Thomas Roger	DOIID	314166	NAIC NPN	7162139

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	10/31/2007
Inactive	Resident	Agent	Credit Life & Health	8/7/1997	8/7/2000
* 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 General Assurance Company	300586	Agent - Limited Line Credit	4/8/2002	10/31/2007
Inactive	First Alliance Insurance Company	301000	Agent - Credit Life & Health	5/20/1999	8/7/2000
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	1/16/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/7/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	10/31/2007
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	4/10/2001	5/8/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	1/14/1999	9/7/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers National Bank	400890	Agent - Credit Life & Health	3/18/1999	9/7/1999
Inactive	Farmers National Bank	400890	Agent - Limited Line Credit	10/25/2005	10/31/2007