DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zokan, Thomas Francis	DOIID	355050	NAIC NPN	546773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/14/1996	6/23/2005
Inactive	Non Resident	Agent	Health	2/14/1996	6/22/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	6/22/2005
Inactive	Non Resident	Agent	Property	8/15/2000	6/22/2005
Inactive	Non Resident	Agent	General Lines	2/14/1996	8/15/2000
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/15/2000	6/22/2005
Inactive	Employers Insurance Company of Wausau	301813	Agent - General Lines	2/14/1996	8/15/2000
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	8/15/2000	6/22/2005
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	5/7/1999	6/22/2005
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	5/7/1999	6/23/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/14/1996	6/22/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/14/1996	6/23/2005
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/15/2000	6/22/2005
Inactive	Wausau Business Insurance Company	301476	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/15/2000	6/22/2005
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/15/2000	6/22/2005
Inactive	Wausau Underwriters Insurance Company	301105	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/15/2000	6/22/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Life	3/6/1997	6/23/2005
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Health	3/6/1997	6/22/2005
Inactive	Wausau Signature Agency, LLC	399369	Agent - Life	2/20/2004	6/23/2005
Inactive	Wausau Signature Agency, LLC	399369	Agent - Health	2/20/2004	6/22/2005
Inactive	Wausau Signature Agency, LLC	399369	Agent - Property	2/20/2004	6/22/2005
Inactive	Wausau Signature Agency, LLC	399369	Agent - Casualty	2/20/2004	6/22/2005