DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Eugene Robert	DOIID	664392	NAIC NPN	9621226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/28/2008	7/31/2010
Inactive	Non Resident	Agent	Health	9/20/2007	7/31/2010
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/9/2009	7/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2009	7/31/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/9/2009	7/31/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/31/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/31/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/26/2008	7/31/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/26/2008	7/31/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	7/31/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2009	7/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/22/2008	7/31/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/22/2008	7/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/22/2008	7/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/22/2008	7/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/22/2008	7/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/22/2008	7/31/2010
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	6/23/2008	9/16/2009
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	6/23/2008	9/16/2009
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/13/2008	7/31/2010
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/13/2008	7/31/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	3/3/2009	7/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	5/12/2008	7/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	5/12/2008	7/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bloom Insurance Agency LLC	664017	Agent - Health	5/12/2008	6/29/2009
Inactive	Bloom Insurance Agency LLC	664017	Agent - Life	5/12/2008	6/29/2009