DEPARTMENT OF INSURANCE

Affiliations

Name	Workman, Thomas Leeland	DOIID	513266	NAIC NPN	6408832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	4/19/2011	7/21/2014
Inactive	Resident	Agent	Life	2/11/2009	7/21/2014
Inactive	Resident	Agent	Casualty	7/10/2012	7/21/2014
Inactive	Resident	Agent	Property	7/10/2012	7/21/2014
Inactive	Resident	Agent	Health	2/11/2009	7/21/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/25/2004	1/1/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/25/2004	1/1/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/1/2009	7/21/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/1/2009	7/21/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	7/3/2014	7/21/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	7/3/2014	7/21/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/12/2011	7/21/2014
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/12/2011	7/21/2014
Inactive	American Public Life Insurance Company	300252	Agent - Health	4/16/2012	12/2/2014
Inactive	American Public Life Insurance Company	300252	Agent - Life	4/16/2012	12/2/2014
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	9/19/2008	1/1/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/18/2005	12/16/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/18/2005	12/16/2006
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/4/2011	7/21/2014
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	4/30/2009	7/21/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/17/2009	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/17/2009	12/13/2011
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	3/2/2009	7/21/2014
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	3/2/2009	7/21/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/16/2014	12/1/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/16/2014	12/1/2014
Inactive	CHA HMO, Inc.	300662	Agent - Health	10/8/2002	5/10/2006
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	4/10/2013	7/21/2014
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	4/10/2013	7/21/2014
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	4/10/2013	7/21/2014
Inactive	CSAA General Insurance Company	606675	Agent - Property	4/10/2013	7/21/2014
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/3/2005	3/22/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/9/2013	11/20/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/9/2013	11/20/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/28/2012	7/21/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/2/2005	11/21/2006
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/9/2004	12/29/2004
Inactive	CompDent Corporation	301387	Agent - Health	3/29/2004	12/23/2004
Inactive	Continental American Insurance Company	301700	Agent - Health	3/16/2011	7/21/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	3/16/2011	7/21/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/19/2013	7/21/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/19/2013	7/21/2014
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	2/26/2009	11/4/2014
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	2/26/2009	11/4/2014
Inactive	Dental Care Plus Inc.	301495	Agent - Health	3/29/2013	7/21/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/21/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	1/21/2005	1/1/2009
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	1/21/2005	4/11/2008
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	1/22/2005	1/1/2009
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	1/22/2005	4/11/2008
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/11/2013	7/21/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/11/2013	7/21/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/20/2013	7/21/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/20/2013	7/21/2014
Inactive	First Colony Life Insurance Company	301179	Agent - Health	4/30/2003	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/30/2003	1/1/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/21/2013	12/1/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/21/2013	12/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/21/2013	12/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/21/2013	12/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/21/2013	12/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/21/2013	12/1/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	9/9/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/9/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	1/1/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	1/1/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/16/2013	7/21/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/16/2013	7/21/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/8/2014	7/21/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/8/2014	7/21/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/8/2014	7/21/2014
Inactive	Grange Insurance Company	300234	Agent - Property	5/8/2014	7/21/2014
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/8/2014	7/21/2014
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/8/2014	7/21/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/8/2014	7/21/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/8/2014	7/21/2014
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	2/17/2009	7/21/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/17/2009	7/21/2014
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/17/2009	7/21/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/14/2013	7/21/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/14/2013	7/21/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/18/2009	7/21/2014
Inactive	Humana Insurance Company	301104	Agent - Health	2/18/2009	7/21/2014
Inactive	Humana Insurance Company	301104	Agent - Life	2/18/2009	7/21/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/18/2009	7/21/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/18/2009	7/21/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/18/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/18/2009	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/14/2005	11/26/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/14/2005	11/26/2007
Inactive	Infinity Insurance Company	300416	Agent - Casualty	1/7/2014	9/26/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/18/2009	7/21/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/18/2009	7/21/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	2/19/2009	7/21/2014
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	2/19/2009	7/21/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	1/15/2014	7/21/2014
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/11/2009	7/21/2014
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/19/2008	1/1/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/19/2008	1/1/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/19/2013	7/21/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/19/2013	7/21/2014
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	12/21/2012	7/21/2014
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	12/21/2012	7/21/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	11/26/2013	7/21/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/26/2013	7/21/2014
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/20/2011	7/21/2014
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/20/2011	7/21/2014
Inactive	Professional Insurance Company	301281	Agent - Health	3/3/2009	7/21/2014
Inactive	Professional Insurance Company	301281	Agent - Life	3/3/2009	7/21/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/27/2012	7/21/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/27/2012	7/21/2014
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/1/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/11/2006	1/1/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/11/2006	1/1/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/15/2014	7/21/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/15/2012	5/16/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/15/2012	5/16/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/31/2013	7/21/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/31/2013	7/21/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/31/2013	7/21/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/31/2013	7/21/2014
Inactive	Standard Insurance Company	300185	Agent - Health	4/21/2003	6/18/2008
Inactive	Standard Insurance Company	300185	Agent - Life	4/21/2003	6/18/2008
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	5/1/2011	7/21/2014
Inactive	Time Insurance Company	300683	Agent - Health	2/25/2009	10/26/2009
Inactive	Time Insurance Company	300683	Agent - Life	2/25/2009	10/26/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/18/2012	7/21/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/18/2012	7/21/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/19/2012	10/6/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/19/2012	10/6/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/8/2014	7/21/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/8/2014	7/21/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	3/7/2003	1/1/2009
Inactive	Trustmark Insurance Company	300317	Agent - Life	3/7/2003	1/1/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/10/2005	10/4/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/20/2007	1/1/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/20/2007	1/1/2009
Inactive	Union Central Life Insurance Company	300307	Agent - Health	8/11/2003	12/31/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Life	8/11/2003	12/31/2004
Inactive	Union Security Insurance Company	301844	Agent - Health	3/25/2009	12/14/2010
Inactive	Union Security Insurance Company	301844	Agent - Life	3/25/2009	12/14/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/24/2012	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/24/2012	8/22/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/5/2013	7/21/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/5/2013	7/21/2014
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/5/2013	7/21/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/5/2013	7/21/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/29/2012	7/21/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/29/2012	7/21/2014
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	4/18/2011	7/21/2014
Inactive	Washington National Insurance Company	300587	Agent - Health	7/17/2011	2/25/2014
Inactive	Washington National Insurance Company	300587	Agent - Life	7/17/2011	2/25/2014
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/18/2004	1/1/2009
Inactive		300277	Agent - Life	5/12/2005	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agency Network of Kentucky Inc.	401106	Agent - Casualty	11/27/2012	7/21/2014
Inactive	Agency Network of Kentucky Inc.	401106	Agent - Property	11/27/2012	7/21/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	2/19/2009	7/21/2014
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	2/19/2009	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Life	5/4/2009	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Health	5/4/2009	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Administrator - Not Applicable	4/19/2011	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Casualty	11/27/2012	7/21/2014
Inactive	Commonwealth Benefit Administrators Llc	705133	Agent - Property	11/27/2012	7/21/2014
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	7/30/2009	1/14/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	7/21/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	7/21/2014
Inactive	Energy Ins Agency Inc	398833	Agent - Casualty	11/27/2012	3/18/2013
Inactive	Energy Ins Agency Inc	398833	Agent - Property	11/27/2012	3/18/2013
Inactive	Medlink Inc	400721	Agent - Life	2/17/2009	7/21/2014
Inactive	Medlink Inc	400721	Agent - Health	2/17/2009	7/21/2014
Inactive	Strategic Business Services, LLC	629250	Agent - Life	7/3/2006	2/8/2008
Inactive	Strategic Business Services, LLC	629250	Agent - Health	7/3/2006	2/8/2008