DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tegler, Thomas M	DOIID	567729	NAIC NPN	1683552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/23/2003	8/31/2011
Inactive	Non Resident	Agent	Life	4/23/2003	8/31/2011
* 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 of Delaware	301057	Agent - Health	2/17/2005	2/28/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/17/2005	2/28/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/21/2003	8/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/21/2003	8/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/12/2005	8/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/12/2005	8/31/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/12/2005	8/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/12/2005	8/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/20/2003	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/20/2003	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	8/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	8/31/2011
Denied	Medlink Inc	400721	Agent - Health
Denied	Medlink Inc	400721	Agent - Life