DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wickey, Thomas S	DOIID	512419	NAIC NPN	1499297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/28/2000	12/31/2013
Inactive	Non Resident	Agent	Property	11/17/2016	10/2/2023
Inactive	Non Resident	Agent	Life	8/28/2000	12/31/2013
Inactive	Non Resident	Agent	Casualty	11/17/2016	10/2/2023
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/1/2011	12/31/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/1/2011	12/31/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/28/2020	5/16/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/28/2020	5/16/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/3/2022	5/16/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/3/2022	5/16/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/3/2022	5/16/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/3/2022	5/16/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/12/2019	5/16/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/12/2019	5/16/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/12/2019	5/16/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/12/2019	5/16/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/17/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/17/2018
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	2/12/2019	5/16/2023
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	2/12/2019	5/16/2023
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	5/16/2023	5/16/2023
Inactive	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	5/16/2023	5/16/2023