DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirkpatrick, Thomas Wayne	DOIID	322556	NAIC NPN	2481032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/20/1991	2/28/2015
Inactive	Non Resident	Agent	Health	6/20/1991	2/28/2015
* 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	Mutual of Omaha Insurance Company	301012	Agent - Health	2/8/1999	7/27/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/20/1991	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/20/1991	11/25/2009
Inactive	Time Insurance Company	300683	Agent - Health	1/28/1998	2/19/2001
Inactive	Time Insurance Company	300683	Agent - Life	1/28/1998	2/19/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Old Northwest Agents Limited Partnership	398327	Agent - Health	3/9/1998	10/1/2001