DEPARTMENT OF INSURANCE

Affiliations

Name	Cummins, Thomas Jerry	DOIID	382912	NAIC NPN	7205832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/10/1990	12/19/2000
Inactive	Resident	Agent	Health Maintenance Organization	9/11/1996	3/31/1997
Inactive	Resident	Agent	Life	7/10/1990	12/19/2000
* 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 Equity Investment Life Insurance Company	300389	Agent - Life	2/15/2000	12/1/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/8/1993	3/20/1998
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/8/1993	3/20/1998
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/4/1991	3/31/1997
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	9/4/1991	3/31/1997
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/31/1998	12/19/2000
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/31/1998	12/19/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	5/12/1994	5/3/1999
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	5/12/1994	5/3/1999
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/28/1994	12/1/2000
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/28/1994	12/1/2000
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	9/11/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/26/1990	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/26/1990	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Health	11/19/1990	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Life	11/19/1990	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/1/1996	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/1/1996	3/9/1998
Inactive	Continental General Insurance Company	300691	Agent - Health	12/21/1999	12/1/2000
Inactive	Continental General Insurance Company	300691	Agent - Life	12/21/1999	12/1/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/14/1996	12/1/2000
Inactive	First National Life Insurance Company	300833	Agent - Health	5/2/1994	2/14/1997
Inactive	First National Life Insurance Company	300833	Agent - Life	5/2/1994	2/14/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/4/1992	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/4/1992	3/31/1997
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	4/5/1995	3/31/1997
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	4/5/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/10/1990	3/6/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/10/1990	3/6/1996
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	12/13/1999	12/1/2000
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	12/13/1999	12/1/2000
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	12/1/2000
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	12/1/2000
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/4/1996	7/5/2002
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	7/15/1997	12/1/2000
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	7/15/1997	12/1/2000
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	7/10/1996	10/20/1998
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	7/10/1996	10/20/1998
Inactive	National Health Insurance Company	300554	Agent - Health	10/12/1994	5/28/1996
Inactive	National Health Insurance Company	300554	Agent - Life	10/12/1994	5/28/1996
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	6/22/1994	12/1/2000
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	5/6/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	5/6/1994	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/5/1995	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/5/1995	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/13/1996	12/1/2000
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/13/1996	12/1/2000
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	9/25/1991	3/31/1997
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	9/25/1991	3/31/1997
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	3/31/1994	6/26/2000
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	3/31/1994	6/26/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/29/1994	10/16/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/29/1994	10/16/1996
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/23/1998	12/1/2000
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/23/1998	12/1/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/27/1995	12/1/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/27/1995	12/1/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/26/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/26/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	8/8/1991	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	8/8/1991	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/17/1991	12/1/2000
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/17/1991	12/1/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	9/23/1997	12/28/1998
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	9/23/1997	12/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Bradshaw Co	399179	Agent - Life	11/5/1992	8/10/2000
Inactive	Frank Bradshaw Co	399179	Agent - Health	11/5/1992	8/10/2000
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	8/2/1996	12/1/2000
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	8/2/1996	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/1/2000