DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tom Thompson Insurance Agency Inc.	DOIID	398087	NAIC NPN	7220652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/1/2021
Inactive	Resident	Agent	Health	11/30/2000	3/1/2021
Inactive	Resident	Agent	Life	1/19/1999	3/1/2021
Inactive	Resident	Agent	Property	8/15/2000	3/1/2021
Inactive	Resident	Agent	General Lines	1/19/1999	8/15/2000
* 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	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	8/14/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	8/14/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	1/7/2021
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	1/19/1999	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	1/7/2021
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	1/19/1999	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/16/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	1/19/1999	1/7/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	1/7/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	1/19/1999	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/30/2000	1/7/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Busam, Priscilla	320403	Agent - Casualty	2/24/2003	4/12/2019
Inactive	Busam, Priscilla	320403	Agent - Health	2/24/2003	4/12/2019
Inactive	Busam, Priscilla	320403	Agent - Life	2/24/2003	4/12/2019
Inactive	Busam, Priscilla	320403	Agent - Property	2/24/2003	4/12/2019
Inactive	Meffert, Michelle Lee	547014	Agent - Casualty	2/24/2003	7/1/2004
Inactive	Meffert, Michelle Lee	547014	Agent - Property	2/24/2003	7/1/2004
Inactive	Thompson, Thomas Alden	336549	Agent - Casualty	8/15/2000	12/31/2020
Inactive	Thompson, Thomas Alden	336549	Agent - General Lines	1/19/1999	8/15/2000
Inactive	Thompson, Thomas Alden	336549	Agent - Health	11/30/2000	12/31/2020
Inactive	Thompson, Thomas Alden	336549	Agent - Life	1/19/1999	12/31/2020
Inactive	Thompson, Thomas Alden	336549	Agent - Property	8/15/2000	12/31/2020