DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, William J	DOIID	375543	NAIC NPN	520698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/26/1997	9/30/2009
Inactive	Non Resident	Agent	Life	3/26/1997	9/30/2009
* 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	Banner Life Insurance Company	301696	Agent - Life	5/1/2007	9/30/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/23/2004	9/30/2009
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/23/2004	9/30/2009
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/29/1998	12/20/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/23/2004	9/30/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/23/2004	9/30/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/26/1997	9/30/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/26/1997	9/30/2009
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/15/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/15/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/15/2000	9/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/15/2000	9/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/15/2000	9/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/15/2000	9/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Executive Ins Agency Inc	400244	Agent - Life	4/25/2007	9/30/2009
Inactive	Executive Ins Agency Inc	400244	Agent - Health	4/25/2007	9/30/2009