DEPARTMENT OF INSURANCE

Affiliations

Name	Warren, Thomas R	DOIID	706405	NAIC NPN	4311947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/26/2009	8/31/2013
Inactive	Non Resident	Agent	Health	5/26/2009	8/31/2013
* 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	9/9/2009	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2009	8/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/9/2009	8/31/2013
Inactive	American Continental Insurance Company	643130	Agent - Health	9/24/2012	8/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/8/2009	6/14/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/8/2009	6/14/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/8/2009	6/14/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/30/2009	9/4/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	6/9/2011	8/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	6/14/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/9/2011	1/23/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/14/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/8/2009	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2009	6/14/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2009	6/14/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/8/2009	6/14/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/8/2009	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/30/2013	6/14/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/30/2013	6/14/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/19/2009	9/19/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/26/2009	11/4/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/15/2011	8/31/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/29/2009	7/21/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/19/2009	9/19/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/19/2009	9/19/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/26/2009	8/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	8/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	6/26/2009	8/31/2013
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	6/26/2009	8/31/2013