DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thackston, Marion E	DOIID	346977	NAIC NPN	2442760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/7/2009		5/31/2026
Active	Non Resident	Agent	Life	5/7/2009		5/31/2026
* 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
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	8/24/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/31/1999	5/31/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/31/1999	5/31/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/24/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/24/2010	6/11/2014
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	4/30/2010	1/3/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	4/30/2010	10/27/2014
Active	Life Insurance Company of North America	300711	Agent - Life	8/24/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Usi Insurance Services LLC	669260	Agent - Life	6/5/2014
Active	Usi Insurance Services LLC	669260	Agent - Health	6/5/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	5/24/2010	5/15/2014
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	5/24/2010	5/15/2014