DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hisle, Tom Eugene	DOIID	501916	NAIC NPN	6612887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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	Homesteaders Life Company	300836	Agent - Life	3/31/2000	9/29/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/20/1999	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/20/1999	1/2/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	2/13/2006	5/8/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/13/2006	9/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Funeral Planning Outsource Specialists Inc	502131	Agent - Life	9/4/2012	3/31/2015
Denied	Kerr Brothers Funeral Home Llc	400856	Agent - Life