DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Ursula Hope	DOIID	623200	NAIC NPN	8677892

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/21/2006	4/27/2012
Inactive	Non Resident	Agent	Casualty	1/5/2006	4/27/2012
Inactive	Non Resident	Agent	Health	4/21/2006	4/27/2012
Inactive	Non Resident	Agent	Property	1/5/2006	4/27/2012
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	11/3/2006	3/20/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	11/3/2006	3/20/2009
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	5/3/2006	3/31/2009
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	5/3/2006	3/31/2009
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Casualty	1/27/2006	3/16/2012
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Property	1/27/2006	3/16/2012
Inactive	Direct General Life Insurance Company	301045	Agent - Health	5/3/2006	3/16/2012
Inactive	Direct General Life Insurance Company	301045	Agent - Life	5/3/2006	3/16/2012
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	2/1/2006	3/1/2006
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	2/1/2006	3/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Right Choice Ins Agency Inc	620070	Agent - Casualty	5/11/2010	3/16/2012
Inactive	Right Choice Ins Agency Inc	620070	Agent - Property	5/11/2010	3/16/2012
Inactive	Right Choice Ins Agency Inc	620070	Agent - Life	5/11/2010	3/16/2012
Inactive	Right Choice Ins Agency Inc	620070	Agent - Health	5/11/2010	3/16/2012