DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Skinner Jr, Thomas Edison	DOIID	535841	NAIC NPN	7219015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/26/2010	9/1/2011
Inactive	Resident	Agent	Life	4/26/2010	9/1/2011
* 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 General Life Insurance Company	301585	Agent - Health	10/12/2004	7/1/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	10/12/2004	7/1/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/11/2011	9/1/2011
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/11/2011	9/1/2011
Inactive	Independent Order of Foresters	300743	Agent - Health	8/24/2001	4/5/2002
Inactive	Independent Order of Foresters	300743	Agent - Life	8/24/2001	4/5/2002
Inactive	Midland National Life Insurance Company	300923	Agent - Health	8/29/2002	2/3/2003
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/29/2002	2/3/2003
Inactive	Physicians Life Insurance Company	300924	Agent - Life	4/22/2002	7/1/2006
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	4/22/2002	7/1/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/30/2010	9/1/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/30/2010	9/1/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/26/2010	10/19/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/26/2010	10/19/2010
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/29/2004	7/1/2006
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	10/11/2010	7/8/2011
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/11/2010	7/8/2011
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/11/2010	7/8/2011
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/11/2010	7/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	7/1/2006
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	7/1/2006