DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sticklen, Thomas M	DOIID	333127	NAIC NPN	7181331

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/27/1988	11/30/2003
Inactive	Resident	Agent	Health	12/27/1988	11/30/2003
* 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	Anthem Life Insurance Company	301209	Agent - Health	8/21/1998	11/30/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/21/1998	11/30/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	9/15/1999	11/30/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	9/15/1999	11/30/2003
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/6/2002	11/30/2003
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/6/2002	11/30/2003
Inactive	State Life Insurance Company	301497	Agent - Health	9/3/2002	11/30/2003
Inactive	State Life Insurance Company	301497	Agent - Life	9/3/2002	11/30/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/27/1988	8/29/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/27/1988	8/29/2002

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	8/3/1998	11/30/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/3/1998	11/30/2003