DEPARTMENT OF INSURANCE

Affiliations

Name	Ennes, Thomas Clarence	DOIID	711369	NAIC NPN	14708922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/20/2009	8/1/2015
Inactive	Resident	Agent	Health	8/20/2009	8/1/2015
* 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	7/4/2013	8/1/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/4/2013	8/1/2015
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/20/2009	6/26/2013
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/20/2009	6/26/2013
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	10/8/2009	5/31/2013
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	10/8/2009	5/31/2013
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/29/2013	8/1/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/27/2011	12/4/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/16/2009	8/1/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/27/2011	12/4/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/16/2009	2/25/2013
Inactive	Forethought Life Insurance Company	301407	Agent - Health	11/25/2013	11/21/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	6/28/2013	11/21/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	6/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/5/2009	6/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/2009	6/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/4/2010	6/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/4/2010	6/10/2013
Inactive	Reserve National Insurance Company	301073	Agent - Health	6/25/2013	9/8/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	6/25/2013	9/8/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/25/2013	8/1/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/25/2013	8/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/4/2013	8/1/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/4/2013	8/1/2015