DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Marvin, Thomas Michael	DOIID	370304	NAIC NPN	1887087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/29/1993	1/5/1998
Inactive	Resident	Agent	Health	1/29/1993	1/5/1998
* 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	Indianapolis Life Insurance Company	301381	Agent - Health	2/12/1993	11/1/1996
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	2/12/1993	11/1/1996
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	1/14/1997	7/1/1997
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/14/1997	7/1/1997
Inactive	Northern Life Insurance Company	300301	Agent - Life	12/6/1993	1/5/1998
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/29/1993	1/5/1998
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/29/1993	1/5/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997