DEPARTMENT OF INSURANCE

Affiliations

Name	Welbourn, Thomas J	DOIID	344415	NAIC NPN	258856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/29/2003	5/31/2019
Inactive	Non Resident	Agent	General Lines	7/6/1989	5/29/1998
Inactive	Non Resident	Agent	Property	10/29/2003	5/31/2019
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/6/1989	5/29/1998
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/11/2013	4/14/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/11/2013	4/14/2015
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/6/1989	5/29/1998
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/11/2013	4/14/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/11/2013	4/14/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/11/2013	4/14/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/11/2013	4/14/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/11/2013	4/14/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/11/2013	4/14/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/18/2004	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/18/2004	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/18/2004	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/18/2004	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/18/2004	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/18/2004	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/18/2004	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/18/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/18/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/18/2004	11/5/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/6/1989	5/29/1998
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	10/6/2009	11/9/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	10/6/2009	11/9/2011
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/6/1989	5/29/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/6/1989	5/29/1998
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/18/2004	5/31/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	7/8/1996	5/29/1998
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/18/2004	5/31/2019
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/6/1989	5/29/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	9/1/2010	5/9/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	9/1/2010	5/9/2014
Inactive	USI Midwest LLC	517736	Agent - Casualty	6/5/2014	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Property	6/5/2014	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/5/2016	7/19/2018
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/5/2016	7/19/2018