DEPARTMENT OF INSURANCE

Affiliations

Name	Powell, Tommy David	DOIID	362648	NAIC NPN	7197057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Crop	12/10/1996	3/16/2001
Inactive	Resident	Agent	Life	6/22/1993	4/22/2010
Inactive	Resident	Agent	Health	6/22/1993	4/22/2010
* 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	Ability Insurance Company	301013	Agent - Health	7/16/2001	6/8/2004
Inactive	Ability Insurance Company	301013	Agent - Life	7/16/2001	6/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/26/2005	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/26/2005	11/20/2007
Inactive	Allied Life Insurance Company	301294	Agent - Health	7/6/1994	3/6/1998
Inactive	Allied Life Insurance Company	301294	Agent - Life	7/6/1994	3/6/1998
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/13/1999	2/5/2004
Inactive	Athene Annuity and Life Company	301893	Agent - Life	2/28/2000	9/13/2004
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/25/2002	6/19/2008
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/25/2002	6/19/2008
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	5/30/2003	11/11/2003
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	5/30/2003	11/11/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/22/2005	4/1/2007
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Health	6/5/1995	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Life	6/5/1995	3/31/1997
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2008	4/22/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Health	2/4/2005	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	2/4/2005	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	2/4/2005	10/23/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	2/4/2005	10/23/2009
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/19/2005	12/12/2008
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/19/2005	12/12/2008
Inactive	Delaware Life Insurance Company	301256	Agent - Life	9/8/2006	10/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/22/2010
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/9/2001	6/21/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Crop	12/10/1996	3/16/2001
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/10/1994	3/31/1997
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/10/1994	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/16/2005	4/22/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/16/2005	4/22/2010
Inactive	Humana Insurance Company	301104	Agent - Life	8/16/2005	4/22/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/16/2005	4/22/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/16/2005	4/22/2010
Inactive	LifeUSA Insurance Company	300386	Agent - Health	6/29/1993	3/6/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	6/29/1993	3/6/1996
Inactive	National Travelers Life Company	300304	Agent - Health	12/13/1999	3/11/2002
Inactive	National Travelers Life Company	300304	Agent - Life	12/13/1999	3/11/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	1/27/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/27/1997	10/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/31/2009
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	2/21/2008	12/4/2008
Inactive	Puritan Life Insurance Company of America	301892	Agent - Life	2/21/2008	12/4/2008
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Health	12/8/1994	3/31/2009
Inactive	Standard Life Insurance Company of Indiana	300116	Agent - Life	12/8/1994	3/31/2009
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	4/7/2000	4/22/2010
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	4/7/2000	4/22/2010
Inactive	State Mutual Insurance Company	300359	Agent - Health	6/19/1998	5/17/1999
Inactive	State Mutual Insurance Company	300359	Agent - Life	6/19/1998	5/17/1999
Inactive	United American Insurance Company	300910	Agent - Health	5/3/2007	7/27/2007
Inactive	United American Insurance Company	300910	Agent - Life	5/3/2007	7/27/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/10/2005	12/20/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Health	6/22/1993	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/15/2005	10/12/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Health	6/10/1994	4/22/2010
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Life	6/10/1994	4/22/2010
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003