DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mansfield, Thomas E	DOIID	315087	NAIC NPN	7162543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	2/22/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	6/14/2010	12/31/2014
* 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 National Insurance Company	301861	Agent - Limited Line Credit	6/14/2010	4/8/2014
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	2/22/1994	4/4/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	4/4/1996	3/4/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/4/1998	9/20/1999
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	4/23/2007	12/31/2008
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mansfield Automotive Group, Inc.	398912	Agent - Credit Life & Health	7/1/1996	12/29/1997
Inactive	Mansfield Chevrolet-Buick, Inc	398307	Agent - Credit Life & Health	4/23/1998	9/20/1999
Inactive	Mansfield Chevrolet-Buick, Inc	398307	Agent - Limited Line Credit	6/14/2010	3/31/2014