DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Buckley, Thomas M	DOIID	367728	NAIC NPN	7199194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	6/8/2018	3/31/2020
Inactive	Resident	Agent	Property	6/8/2018	3/31/2020
Inactive	Resident	Agent	General Lines	9/30/1996	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	American Economy Insurance Company	300315	Agent - General Lines	9/30/1996	5/28/1998
Inactive	American States Insurance Company	301230	Agent - General Lines	9/30/1996	5/28/1998
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	9/30/1996	5/28/1998
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/6/2014	3/31/2018
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/2/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/3/2012	3/31/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/3/2012	3/31/2018
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	3/6/2014	3/31/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	10/5/1998	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	11/3/1999	8/15/2000
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/6/2014	3/31/2018
Inactive	Selective Insurance Company of the Southeast	300381	Agent - General Lines	7/19/1999	8/15/2000
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/3/2012	3/31/2018
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/3/2012	3/31/2018
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	3/6/2014	3/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	5/13/2013	3/31/2018
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	5/13/2013	3/31/2018
Inactive	Buckley & Company Inc.	400037	Agent - Casualty	1/16/2013	3/31/2014
Inactive	Buckley & Company Inc.	400037	Agent - Property	1/16/2013	3/31/2014