DEPARTMENT OF INSURANCE

Affiliations

Name	Struck, Thomas R	DOIID	351121	NAIC NPN	1502799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	5/14/2014
Inactive	Resident	Agent	Life	11/1/1991	5/13/2014
Inactive	Resident	Agent	Health	10/15/1991	5/13/2014
Inactive	Resident	Agent	General Lines	10/15/1991	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	5/14/2014
* 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 Insurance Companies, Inc.	300941	Agent - Health	10/15/1991	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	3/26/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	3/26/2003
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/18/2012	5/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/18/2012	5/14/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012	5/14/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/6/2012	5/14/2014
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	5/13/2014
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	10/15/1991	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	5/13/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/9/2004	5/14/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/9/2004	5/14/2014
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/9/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/9/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	5/13/2014
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/15/1991	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	5/13/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/22/1996	5/13/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/22/1996	5/13/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	5/14/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	5/14/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	1/9/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	5/13/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	5/13/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/1/1991	5/9/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/1/1991	5/9/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	11/1/1991	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	5/9/2014
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	5/9/2014