DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stovall, Thomas R	DOIID	340612	NAIC NPN	1474363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/6/1999	8/31/2005
Inactive	Non Resident	Agent	Property	9/18/2000	8/31/2005
Inactive	Non Resident	Agent	Life	5/6/1999	8/31/2005
Inactive	Non Resident	Agent	Casualty	9/18/2000	8/31/2005
* 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	Athene Annuity and Life Company	301893	Agent - Health	1/4/2000	5/18/2005
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/4/2000	11/28/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/17/2002	8/31/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/6/1999	8/31/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/6/1999	8/31/2005
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/13/2004	8/31/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/18/2000	8/31/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/18/2000	8/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	8/31/2005
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	8/31/2005