DEPARTMENT OF INSURANCE

Affiliations

Name	Business Services Associates, Inc	DOIID	624790	NAIC NPN	8701500

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/26/2006	3/31/2012
Inactive	Resident	Agent	Life	1/26/2006	3/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thomas, Kenneth Eugene	356203	Agent - Health	1/26/2006	3/31/2012
Inactive	Thomas, Kenneth Eugene	356203	Agent - Life	1/26/2006	3/31/2012