DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker Jr, Thomas Allan	DOIID	392515	NAIC NPN	3310299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health		3/13/2006
Denied	Resident	Agent	Life		3/13/2006
Inactive	Resident	Agent	Health Maintenance Organization	5/11/1993	3/31/1997
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/11/1993	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/11/1993	8/21/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/11/1993	8/21/1998
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/7/1995	8/21/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	1/12/1996	10/29/1996
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	1/12/1996	10/29/1996
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	8/21/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	8/21/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/2/1994	8/21/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/2/1994	8/21/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/8/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/8/1995	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/18/1993	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/18/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/18/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/18/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	3/8/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/8/1995	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	Acordia Senior of The Southeast Inc.	401297	Agent - Life	4/1/1994	8/21/1998
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	4/1/1994	8/21/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/25/1994	8/21/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/25/1994	8/21/1998
Denied	Charles Taylor TPA, LLC	401233	Agent - Life
Denied	Charles Taylor TPA, LLC	401233	Agent - Health