DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weis, Thomas E	DOIID	619647	NAIC NPN	986021

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/9/2005	3/25/2014
Inactive	Non Resident	Agent	Health	11/9/2005	3/25/2014
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/30/2012	12/9/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/30/2012	12/9/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/7/2014	3/25/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/7/2014	3/25/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/25/2013	12/6/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/15/2011	12/6/2013
Inactive	Humana Insurance Company	301104	Agent - Health	3/7/2014	3/25/2014
Inactive	Humana Insurance Company	301104	Agent - Life	3/7/2014	3/25/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/7/2014	3/25/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/7/2014	3/25/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2011	12/6/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2011	12/6/2013
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	11/10/2005	2/22/2013
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	11/10/2005	2/22/2013
Inactive	United American Insurance Company	300910	Agent - Health	2/29/2008	5/13/2011
Inactive	United American Insurance Company	300910	Agent - Life	2/29/2008	5/13/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	4/23/2010	12/9/2013
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/23/2010	12/9/2013