DEPARTMENT OF INSURANCE

Affiliations

Name	Curtin, Thomas R	DOIID	381745	NAIC NPN	1470165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/20/1991	6/30/2005
Inactive	Resident	Agent	Life	9/20/1991	6/30/2005
Inactive	Resident	Agent	Health Maintenance Organization	11/12/1991	3/1/2001
* 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	Brighthouse Life Insurance Company	301829	Agent - Health	3/26/1993	2/10/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/26/1993	2/10/2003
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/24/1994	3/31/1997
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/24/1994	3/31/1997
Inactive	Companion Life Insurance Company	300191	Agent - Health	9/24/1997	5/7/1999
Inactive	Companion Life Insurance Company	300191	Agent - Life	9/24/1997	5/7/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	6/30/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/12/1991	3/1/2001
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/8/1997	9/2/2004
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	9/8/1997	9/2/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	8/11/1994	3/31/1997
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/11/1994	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	6/30/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	6/30/2005
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	2/13/2002	6/30/2005
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	2/13/2002	6/30/2005
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	9/20/1991	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	9/20/1991	3/31/1997
Inactive	SeeChange Health Insurance Company	301115	Agent - Health	9/27/1993	3/31/1997
Inactive	SeeChange Health Insurance Company	301115	Agent - Life	9/27/1993	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/5/1994	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/5/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/1/1998	6/30/2005
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/1/1998	6/30/2005
Inactive	Bratcher Agency Inc.	398874	Agent - Life	5/24/1993	6/30/2005
Inactive	Bratcher Agency Inc.	398874	Agent - Health	5/24/1993	6/30/2005
Inactive	Curtin Group Inc. [The]	399844	Agent - Life	7/30/1993	5/31/2004
Inactive	Curtin Group Inc. [The]	399844	Agent - Health	7/30/1993	5/31/2004
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	1/1/2002	6/30/2005
Inactive	Medlink Inc	400721	Agent - Health	1/1/2002	6/30/2005
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	6/30/2005
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	6/30/2005