DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	First Commonwealth Capital Management, Inc.	DOIID	534062	NAIC NPN	7223359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/9/2001	3/31/2017
Inactive	Resident	Agent	Health	8/9/2001	3/31/2017
* 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	First Colony Life Insurance Company	301179	Agent - Health	9/4/2001	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/4/2001	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/7/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/1/2002	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/1/2002	10/24/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/9/2001	12/11/2002
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/9/2001	12/11/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clayton, Regina M	555655	Agent - Life	10/12/2005	3/6/2007
Inactive	Douglas, Thomas Allen	513059	Agent - Life	1/25/2005	3/6/2007
Inactive	Gary, Emory Judson	392931	Agent - Health	8/9/2001	12/1/2015
Inactive	Gary, Emory Judson	392931	Agent - Life	8/9/2001	12/1/2015
Inactive	Gary, Nancy Camet	345707	Agent - Health	8/9/2001	4/1/2010
Inactive	Gary, Nancy Camet	345707	Agent - Life	8/9/2001	4/1/2010
Inactive	Hampton, Martin Justus	342734	Agent - Health	1/6/2004	9/30/2008
Inactive	Hampton, Martin Justus	342734	Agent - Life	1/6/2004	9/30/2008
Inactive	Morrison, Judy Lynn	353554	Agent - Health	8/9/2001	3/31/2017
Inactive	Morrison, Judy Lynn	353554	Agent - Life	8/9/2001	3/31/2017