DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Thomas Leonard	DOIID	383883	NAIC NPN	261181

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/27/2001
Inactive	Non Resident	Agent	Health	7/30/1998	8/31/2016
Inactive	Non Resident	Agent	General Lines	9/4/1997	8/15/2000
Inactive	Non Resident	Agent	Life	7/30/1998	8/31/2016
Inactive	Non Resident	Agent	Property	8/15/2000	12/27/2001
* 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	Aetna Health Inc.	300694	Agent - Health	3/7/2005	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/4/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/7/2005	6/4/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	3/7/2005	6/4/2012
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	2/11/1999	2/3/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/11/1999	2/3/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	3/2/2010	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	3/2/2010	10/25/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/30/1998	7/2/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/30/1998	7/2/2002
Inactive	C.M. Life Insurance Company	301335	Agent - Health	7/22/2004	11/13/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/22/2004	11/13/2012
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	9/4/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/27/2001
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/16/2007	8/31/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/16/2007	8/31/2016
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/20/2001	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/20/2001	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/18/2012	4/23/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/18/2012	4/23/2014
Inactive	LifeUSA Insurance Company	300386	Agent - Health	2/11/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	2/11/1999	8/2/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/22/2004	11/13/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	7/22/2004	11/13/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/10/2003	11/25/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/10/2003	11/25/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	4/5/2004	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	4/5/2004	3/31/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/21/2001	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/21/2001	9/16/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/3/1999	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/3/1999	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	5/21/1999	11/25/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	L T C I Partners L L C	540090	Agent - Life	10/10/2006	8/31/2016
Inactive	L T C I Partners L L C	540090	Agent - Health	1/25/2002	8/31/2016
Inactive	Wisconsin Insurance World Ltd	398323	Agent - Life	7/27/1999	5/31/2003
Inactive	Wisconsin Insurance World Ltd	398323	Agent - Health	7/27/1999	5/31/2003