DEPARTMENT OF INSURANCE

Affiliations

Name	Stevens, Thomas E	DOIID	514479	NAIC NPN	1000421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Inactive	Non Resident	Agent	Health	4/25/2012	7/31/2013
Inactive	Non Resident	Agent	Property	4/25/2012	7/31/2013
Inactive	Non Resident	Agent	Life	4/25/2012	7/31/2013
Inactive	Non Resident	Agent	Casualty	4/25/2012	7/31/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/23/2012	4/8/2013
Inactive	Integrity Life Insurance Company	301687	Agent - Life	4/7/2003	5/20/2006
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	9/5/2000	5/20/2006
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	9/5/2000	5/20/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	9/5/2000	5/20/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	9/5/2000	5/20/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Proctor Ins Agcy Inc	521671	Agent - Life	5/23/2012	4/8/2013