DEPARTMENT OF INSURANCE

Affiliations

Name	Stansell, Thomas R	DOIID	649688	NAIC NPN	9058028

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	2/20/2007	6/3/2008
Inactive	Non Resident	Agent	Life	10/15/2008	8/31/2014
Inactive	Non Resident	Agent	Health	10/15/2008	8/31/2014
* 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 General Life Insurance Company	301585	Agent - Health	5/28/2009	8/18/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	5/28/2009	8/18/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/26/2011	6/17/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/26/2011	6/17/2013
Inactive	HM Life Insurance Company	301408	Agent - Health	7/16/2010	8/31/2014
Inactive	HM Life Insurance Company	301408	Agent - Life	7/16/2010	8/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/19/2011	8/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/19/2011	8/31/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	5/2/2007	6/3/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/27/2009	8/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/27/2009	8/31/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Health	11/4/2008	10/14/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/4/2008	10/14/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/8/2010	8/31/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/8/2010	8/31/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/18/2014	8/31/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/18/2014	8/31/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/6/2009	9/15/2014
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/6/2009	9/15/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/27/2009	8/31/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/27/2009	8/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	5/2/2007	6/3/2008
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	8/31/2014
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	8/31/2014