DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Thomas Wilbur	DOIID	357696	NAIC NPN	1889972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	12/28/1989	8/15/2000
Inactive	Resident	Agent	Life	5/7/1991	8/31/2021
Inactive	Resident	Agent	Property	8/15/2000	8/31/2021
Inactive	Resident	Agent	Health	5/7/1991	8/31/2021
Inactive	Resident	Agent	Assessment Chapter 299	7/14/1998	12/1/2000
Inactive	Resident	Agent	Casualty	8/15/2000	8/31/2021
* 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	AIG Assurance Company	300897	Agent - Casualty	9/17/2001	9/8/2008
Inactive	AIG Assurance Company	300897	Agent - Property	9/17/2001	9/8/2008
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	2/26/2013	8/31/2021
Inactive	Aegis Security Insurance Company	300492	Agent - Property	2/26/2013	8/31/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	8/31/2021
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	8/31/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/21/2011	9/14/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/21/2011	9/14/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/19/2013	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	1/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	3/31/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	3/31/2006	10/25/2012
Inactive	American Growers Insurance Company	300841	Agent - General Lines	9/29/1995	10/12/1999
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	8/31/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	8/31/2021
Inactive	American National Insurance Company	301861	Agent - Health	3/23/2006	5/28/2021
Inactive	American National Insurance Company	301861	Agent - Life	3/23/2006	5/28/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	6/7/2002	11/25/2003
Inactive	American Reliable Insurance Company	301889	Agent - Property	6/7/2002	11/25/2003
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	8/31/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	8/31/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/18/2003
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/18/2003
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/4/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/4/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/7/2012	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/7/2012	11/2/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/2/2007	11/25/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/2/2007	11/25/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/1/2013	3/16/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/1/2013	3/16/2021
Inactive	Columbian Life Insurance Company	300810	Agent - Health	8/24/1993	7/1/2013
Inactive	Columbian Life Insurance Company	300810	Agent - Life	8/24/1993	4/2/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/8/2010	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/8/2010	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/8/2010	6/26/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/28/2004	11/17/2014
Inactive	Delaware Life Insurance Company	301256	Agent - Life	5/31/2006	10/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	3/31/2006	6/27/2011
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/25/1996	8/15/2000
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/24/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/24/2005	8/20/2012
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	7/14/1998	12/1/2000
Inactive	First National Insurance Company of America	301690	Agent - Casualty	1/19/2011	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - General Lines	3/29/1995	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	1/19/2011	10/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/9/2004	11/25/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/9/2004	11/25/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	1/21/2011	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - General Lines	3/29/1995	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	1/21/2011	10/20/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/28/2005	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/28/2005	12/14/2016
Inactive	Granite State Insurance Company	300818	Agent - Casualty	9/17/2001	9/8/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	9/17/2001	9/8/2008
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/9/2013	1/7/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	5/9/2013	1/7/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	5/9/2013	1/7/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	5/9/2013	1/7/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/9/2013	1/7/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	5/9/2013	1/7/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/23/2007	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	11/23/2007	3/7/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/23/2007	3/7/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/23/2007	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/23/2007	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/8/2010	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/8/2010	2/22/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/15/2007	9/8/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/15/2007	9/8/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	8/31/2021
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	8/31/2021
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	1/16/1996	8/15/2000
Inactive	Integrity Life Insurance Company	301687	Agent - Life	6/22/2006	8/31/2021
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	3/14/1998	1/17/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	5/1/2006	3/19/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	1/22/2018
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	3/27/2013	12/30/2013
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	3/27/2013	12/30/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	1/24/2001	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - Property	1/24/2001	7/1/2002
Inactive	LifeSecure Insurance Company	301629	Agent - Life	2/18/1999	9/22/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/30/1992	3/6/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/30/1992	3/6/1996
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/31/2006	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/31/2006	7/14/2014
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	2/21/2002	8/4/2003
Inactive	Lincoln General Insurance Company	301580	Agent - Property	2/21/2002	8/4/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/21/2007	3/25/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/21/2007	3/25/2015
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	2/11/2002
Inactive	National Insurance Association	301386	Agent - General Lines	11/29/1995	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	2/11/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/24/2005	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/24/2005	12/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/6/2013	8/31/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	1/20/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	1/20/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	1/20/2011
Inactive	Omni Insurance Company	301545	Agent - General Lines	1/25/1990	3/31/2000
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/2/2009	11/5/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	9/8/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	9/8/2008
Inactive	Protective Life Insurance Company	300638	Agent - Health	5/5/2006	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	5/5/2006	11/23/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	6/14/2007	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/14/2007	12/23/2014
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	11/16/2000	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Property	11/16/2000	11/1/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	12/28/1989	8/12/1996
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/27/2007	8/18/2009
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	3/16/2008	11/13/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	3/16/2008	11/13/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	8/31/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/29/1995	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	8/31/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/19/2011	10/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	3/29/1995	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/19/2011	10/15/2021
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/7/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	3/29/1995	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/7/2004
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/27/2007	8/18/2009
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	10/10/2007	9/2/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	10/10/2007	9/2/2020
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/5/2002	4/22/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/5/2002	4/22/2009
Inactive	Time Insurance Company	300683	Agent - Health	1/30/2001	11/15/2002
Inactive	Time Insurance Company	300683	Agent - Life	1/30/2001	11/15/2002
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/20/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	9/29/2020
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	9/29/2020
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/24/1998	8/6/2003
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/24/1998	8/6/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2012	3/20/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/26/2012	6/7/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/26/2012	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/26/2012	4/30/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	11/19/2013	8/31/2021
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	1/20/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/10/2007	11/16/2011
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Casualty	1/8/2010	10/24/2014
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Property	1/8/2010	10/24/2014
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	3/22/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	1/16/1996	8/15/2000
Inactive		300277	Agent - Life	4/27/2006	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/30/1998	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/30/1998	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/7/2012	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/7/2012	11/2/2016
Inactive	EVCO Enterprises LLC	570831	Agent - Life	7/17/2003	3/4/2015
Inactive	EVCO Enterprises LLC	570831	Agent - Health	7/17/2003	3/4/2015
Inactive	EVCO Enterprises LLC	570831	Agent - Property	7/17/2003	3/4/2015
Inactive	EVCO Enterprises LLC	570831	Agent - Casualty	7/17/2003	3/4/2015
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Peoples Coverage, Inc.	787786	Agent - Life	8/7/2012	1/27/2016
Inactive	Peoples Coverage, Inc.	787786	Agent - Health	8/7/2012	1/27/2016
Inactive	Peoples Coverage, Inc.	787786	Agent - Property	8/7/2012	1/27/2016
Inactive	Peoples Coverage, Inc.	787786	Agent - Casualty	8/7/2012	1/27/2016