DEPARTMENT OF INSURANCE

Affiliations

Name	Tompkins, Clint R	DOIID	330768	NAIC NPN	7177523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/14/1980	2/8/1997
Inactive	Resident	Agent	Health	1/30/1984	3/31/1997
Inactive	Resident	Agent	Life	1/30/1984	3/31/1997
Inactive	Resident	Agent	Health Maintenance Organization	9/12/1996	2/8/1997
* 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	AIG Assurance Company	300897	Agent - General Lines	5/5/1994	2/8/1997
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	10/4/1993	2/8/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/4/1996	2/8/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/4/1996	2/8/1997
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	9/12/1996	2/8/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/5/1991	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	2/8/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	2/8/1997
Inactive	Continental General Insurance Company	300691	Agent - Health	11/21/1986	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	11/21/1986	3/31/1997
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	7/3/1991	3/31/1997
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/3/1991	3/31/1997
Inactive	Great Fidelity Life Insurance Company	301208	Agent - Health	10/29/1991	3/31/1997
Inactive	Great Fidelity Life Insurance Company	301208	Agent - Life	10/29/1991	3/31/1997
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	11/9/1987	2/8/1997
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	8/19/1986	2/8/1997
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	8/19/1986	3/31/1997
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	8/19/1986	3/31/1997
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	5/11/1988	2/8/1997
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	7/30/1991	2/8/1997
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	5/14/1980	2/8/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	4/28/1992	2/8/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	4/28/1992	2/8/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	4/24/1985	2/8/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	4/24/1985	2/8/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	12/8/1992	3/31/1997
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	12/8/1992	3/31/1997
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	4/11/1985	2/8/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/22/1991	1/2/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/20/1986	2/8/1997
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/20/1986	2/8/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	10/19/1993	2/8/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	10/19/1993	2/8/1997
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	10/24/1990	2/8/1997
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	4/24/1985	2/8/1997
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/30/1991	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/30/1991	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/4/1992	2/8/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/4/1992	2/8/1997
Inactive	United American Insurance Company	300910	Agent - Health	1/30/1984	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Life	1/30/1984	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997
Inactive	Victory Life Insurance Company (The)	301357	Agent - Health	3/23/1994	3/31/1997
Inactive	Victory Life Insurance Company (The)	301357	Agent - Life	3/23/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	11/8/1990	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	11/8/1990	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	2/12/1996	2/8/1997
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	2/12/1996	2/8/1997
Inactive	Tompkins & Associates, Inc.	400393	Agent - General Lines	5/29/1985	2/8/1997