DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Massengill, Thomas Howard	DOIID	330728	NAIC NPN	2785011

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/4/1986	1/25/1999
Inactive	Resident	Agent	Life	2/4/1986	1/25/1999
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/17/1992	1/25/1999
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/17/1992	1/25/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/11/1996	1/25/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/11/1996	1/25/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/28/1986	1/25/1999
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/28/1986	1/25/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	8/8/1994	1/25/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	8/8/1994	1/25/1999
Inactive	New York Life Insurance Company	300431	Agent - Health	2/4/1986	1/25/1999
Inactive	New York Life Insurance Company	300431	Agent - Life	2/4/1986	1/25/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	2/4/1986	1/25/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	2/4/1986	1/25/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	1/25/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	1/25/1999