DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thorn, Theresa A	DOIID	510467	NAIC NPN	1722748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/28/2008	2/27/2012
Inactive	Non Resident	Agent	Life	1/28/2008	2/27/2012
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	6/21/2000	11/18/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	6/21/2000	11/18/2002
Inactive	Balboa Life Insurance Company	301327	Agent - Health	10/20/2009	5/2/2011
Inactive	Balboa Life Insurance Company	301327	Agent - Life	10/20/2009	5/2/2011
Inactive	Continental Casualty Company	301019	Agent - Health	5/9/2001	8/5/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/20/2008	2/27/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/28/2009	2/27/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/28/2009	2/27/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/28/2009	2/27/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/28/2009	2/27/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	2/27/2001	11/18/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	2/27/2001	11/18/2002
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/9/2001	8/5/2003
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/9/2001	8/5/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Life	9/29/2011	2/27/2012
Inactive	Global Contact Services	546831	Agent - Health	9/29/2011	2/27/2012
Inactive	TeleSpectrum, Inc	512199	Agent - Life	10/18/2001	3/17/2003
Inactive	TeleSpectrum, Inc	512199	Agent - Health	10/18/2001	3/17/2003