DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Palmer, Thomas E	DOIID	612838	NAIC NPN	3281031

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/29/2005	10/31/2015
Inactive	Non Resident	Agent	Casualty	7/29/2005	10/31/2015
Inactive	Non Resident	Agent	Life	7/29/2005	10/31/2015
Inactive	Non Resident	Agent	Health	7/29/2005	10/31/2015
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	5/2/2006	11/10/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	5/2/2006	11/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	5/2/2006	11/10/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/2/2006	11/10/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/11/2006	9/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/11/2006	9/21/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Casualty	5/30/2008	7/14/2015
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Property	5/30/2008	7/14/2015
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Health	5/2/2006	7/14/2015
Inactive	Haylor, Freyer & Coon, Inc.	502965	Agent - Life	5/2/2006	7/14/2015