DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perez, Thomas Neil	DOIID	367528	NAIC NPN	809758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/3/1997	3/1/2002
Inactive	Resident	Agent	General Lines	3/8/1996	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	Frontier Insurance Company	300528	Agent - General Lines	3/8/1996	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Management Services Inc	401321	Adjuster - Independent	3/31/1998	3/1/2002
Inactive	Essex Management Insurance Service Inc.	401322	Adjuster - Independent	4/3/1997	3/31/1998