DEPARTMENT OF INSURANCE

Affiliations

Name	Hawthorne, Thomas Baskervill	DOIID	667574	NAIC NPN	9004116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/5/2007	1/31/2026
Active	Non Resident	Agent	Life	11/5/2007	1/31/2026
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/18/2014	6/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/18/2014	6/29/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/4/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/10/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/10/2007	3/22/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/10/2007	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/10/2007	2/22/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/8/2008	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/8/2008	12/18/2012
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/19/2008
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	12/12/2014
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	12/12/2014
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/7/2015	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/7/2015	10/1/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/19/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/19/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	James A Scott & Son Inc	509408	Agent - Life	12/21/2007
Active	James A Scott & Son Inc	509408	Agent - Health	12/21/2007
Inactive	Medlink Inc	400721	Agent - Life	12/18/2014	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/18/2014	3/31/2024