DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Gary R	DOIID	367352	NAIC NPN	1470441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/26/1995	7/1/1996
Inactive	Resident	Agent	Life	8/27/2004	11/1/2022
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/11/2009	3/17/2010
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	12/2/2009	1/10/2013
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	11/30/2004	10/28/2005
Inactive	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	9/18/2012	6/24/2021
Inactive	Columbian Life Insurance Company	300810	Agent - Life	9/14/2004	11/16/2005
Inactive	Encova Life Insurance Company	301818	Agent - Life	12/15/2008	10/25/2010
Inactive	Forethought Life Insurance Company	301407	Agent - Health	5/26/1995	7/1/1996
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/9/2014	10/14/2015
Inactive	Homesteaders Life Company	300836	Agent - Life	7/20/2018	7/13/2020
Inactive	Independent Order of Foresters	300743	Agent - Life	3/15/2012	12/31/2013
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	1/12/2005	3/20/2006
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	6/28/2016	2/11/2017
Inactive	Old American Insurance Company	300762	Agent - Life	8/31/2004	2/27/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/16/2012	11/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Owen Funeral Home Inc. [The]	400933	Agent - Life	7/17/2020	11/1/2022