DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medalist Assurance Services Corp	DOIID	691168	NAIC NPN	10921299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Casualty
Inactive	Non Resident	Agent	Life	3/24/2009	3/31/2012
Inactive	Non Resident	Agent	Health	3/24/2009	3/31/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Thornhill, Gary Lynn	534084	Agent - Health	3/24/2009	11/19/2009
Inactive	Thornhill, Gary Lynn	534084	Agent - Life	3/24/2009	3/31/2012