DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russo, Thomas M	DOIID	673393	NAIC NPN	4728294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/6/2008	8/31/2012
Inactive	Non Resident	Agent	Property	2/6/2008	8/31/2012
Inactive	Non Resident	Agent	Casualty	2/6/2008	8/31/2012
Inactive	Non Resident	Agent	Life	2/6/2008	8/31/2012
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/5/2009	8/31/2012
* 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	Arch Insurance Company	300688	Agent - Casualty	7/31/2009	8/31/2012
Inactive	Arch Insurance Company	300688	Agent - Property	7/31/2009	8/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Louisiana Inc	598418	Surplus Lines Broker - Not Applicable	8/5/2009	8/31/2012