DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

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