DEPARTMENT OF INSURANCE

Affiliations

Name	Owsley, Thomas M	DOIID	362198	NAIC NPN	7196865

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	6/29/2000	3/1/2001
Inactive	Resident	Agent	General Lines	3/20/2000	8/15/2000
Inactive	Resident	Agent	Life	5/19/1999	8/24/2010
Inactive	Resident	Agent	Health	5/19/1999	8/24/2010
Inactive	Resident	Agent	Casualty	8/15/2000	8/24/2010
Inactive	Resident	Agent	Property	8/15/2000	8/24/2010
* 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 Heritage Life Insurance Company	300272	Agent - Health	8/7/2008	8/24/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/7/2008	8/24/2010
Inactive	BaltasVision, LLC	598376	Agent - Health	12/13/2004	8/24/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/11/2004	8/24/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/11/2004	8/24/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/8/2008	8/24/2010
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/8/2008	8/24/2010
Inactive	Canada Life Assurance Company	301192	Agent - Health	5/22/2000	9/6/2003
Inactive	Canada Life Assurance Company	301192	Agent - Life	5/22/2000	9/6/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/9/2005	4/1/2007
Inactive	Continental Casualty Company	301019	Agent - Health	8/19/1999	11/29/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/24/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/12/2005	8/24/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/12/2005	8/24/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/11/2004	8/24/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/11/2004	8/24/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/29/2000	8/24/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/29/2000	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Life	6/29/2000	8/24/2010
Inactive	Humana Insurance Company	301104	Agent - Health	6/29/2000	8/24/2010
Inactive	Humana Insurance Company	301104	Agent - Life	6/29/2000	8/24/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	8/24/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/30/2004	8/24/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/13/2005	12/28/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/13/2005	12/28/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/20/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/3/2008	8/24/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2008	8/24/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2008	8/24/2010
Inactive	MedAmerica Insurance Company	301568	Agent - Health	9/1/2006	6/23/2010
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/28/2004	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/28/2004	11/26/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/9/2007	8/24/2010
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	9/2/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	9/2/1999	12/11/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/19/1999	7/1/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/19/1999	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	4/9/2001	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	4/9/2001	12/8/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	3/19/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/20/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	3/19/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	8/24/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/2/1999	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/2/1999	12/11/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	8/24/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/24/2010
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/19/1999	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/19/1999	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/15/1999	12/11/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/15/1999	12/11/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	7/9/2007	8/24/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/17/2006	8/24/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/17/2006	8/24/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/31/1999	11/22/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	5/30/2006	8/24/2010
Inactive	Employee Benefits Administrators, Inc.	401273	Agent - Life	8/23/1999	10/24/2008
Inactive	Employee Benefits Administrators, Inc.	401273	Agent - Health	8/23/1999	10/24/2008