DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Thomas Randall	DOIID	320738	NAIC NPN	7168131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	9/26/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	9/30/2005
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	9/26/1996	3/31/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/1/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	9/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bruce Walters Ford Sales Inc.	400923	Agent - Limited Line Credit	1/25/2005	9/30/2005
Inactive	M & M Imports Inc	398902	Agent - Credit Life & Health	5/14/1997	8/7/2000
Inactive	M & M Imports Inc	398902	Agent - Limited Line Credit	7/15/2002	9/30/2005
Inactive	Walters Automobiles, Inc.	573364	Agent - Limited Line Credit	8/4/2003	9/30/2005