DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Roy D	DOIID	563425	NAIC NPN	6983013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/16/2009	8/31/2010
Inactive	Non Resident	Agent	Health	7/16/2009	8/31/2010
* 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	Combined Insurance Company of America	301472	Agent - Health	3/14/2003	8/31/2008
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/14/2003	8/31/2008
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	8/24/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	8/24/2005	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/24/2005	8/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/24/2005	8/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BP Inc.	563426	Agent - Health	8/25/2003	12/26/2007
Inactive	BP Inc.	563426	Agent - Life	8/25/2003	12/26/2007