DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Thomas Blake	DOIID	608011	NAIC NPN	8458754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/26/2010	7/31/2016
* 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 Health and Life Insurance Company	300844	Agent - Limited Line Credit	5/2/2005	5/28/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	7/26/2010	7/31/2016
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	5/2/2005	5/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Federal Savings Bank of Elizabethtown	600160	Agent - Limited Line Credit	7/28/2010	3/31/2016