DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fain II, Thomas Cooper	DOIID	625914	NAIC NPN	8197779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	9/27/2013		5/31/2026
Inactive	Resident	Agent	Health	2/9/2006	2/26/2007
Inactive	Resident	Agent	Life	2/9/2006	2/26/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2024	05/31/2024	02/22/2024	02/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	10/3/2013
Inactive	Merit Life Insurance Co.	300150	Agent - Health	2/9/2006	2/26/2007
Inactive	Merit Life Insurance Co.	300150	Agent - Life	2/9/2006	2/26/2007
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	2/9/2006	2/26/2007
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/3/2013
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	2/9/2006	2/25/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle Financial Services Inc	401081	Agent - Limited Line Credit	3/1/2017	3/31/2022