DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Leitch, Thomas B	DOIID	648769	NAIC NPN	2096018

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/1/2007	9/30/2012
Inactive	Non Resident	Agent	Casualty	2/1/2007	9/30/2012
Inactive	Non Resident	Agent	Property	2/1/2007	9/30/2012
* 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	Metropolitan Life Insurance Company	301948	Agent - Health	11/4/2008	11/20/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/15/2008	9/30/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/15/2008	9/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	5/24/2010	9/30/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/24/2010	9/30/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/24/2010	9/30/2012
Inactive	Wells Fargo Insurance Services of North Carolina, Inc.	581177	Agent - Health	11/4/2008	3/1/2010
Inactive	Wells Fargo Insurance Services of North Carolina, Inc.	581177	Agent - Property	10/24/2008	3/1/2010
Inactive	Wells Fargo Insurance Services of North Carolina, Inc.	581177	Agent - Casualty	10/24/2008	3/1/2010