DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tolbert, Thomas William	DOIID	718536	NAIC NPN	556138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/20/2009	3/10/2017
Inactive	Non Resident	Agent	Property	11/20/2009	3/10/2017
Inactive	Non Resident	Agent	Health	11/20/2009	3/10/2017
Inactive	Non Resident	Agent	Life	11/20/2009	3/10/2017
* 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	Great American Assurance Company	300327	Agent - Casualty	12/3/2009	3/10/2017
Inactive	Great American Assurance Company	300327	Agent - Property	12/3/2009	3/10/2017
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/20/2013	2/24/2015
Inactive	Great American Insurance Company	301586	Agent - Property	5/20/2013	2/24/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Avant Brokerage LLC	841770	Agent - Life
Inactive	Avant Brokerage LLC	841770	Agent - Property	2/21/2017	3/10/2017
Denied	Avant Brokerage LLC	841770	Agent - Health
Inactive	Avant Brokerage LLC	841770	Agent - Casualty	2/21/2017	3/10/2017
Inactive	Tisics LLC	811356	Agent - Life	5/31/2013	3/8/2017
Inactive	Tisics LLC	811356	Agent - Property	5/31/2013	3/8/2017
Inactive	Tisics LLC	811356	Agent - Health	5/31/2013	3/8/2017
Inactive	Tisics LLC	811356	Agent - Casualty	5/31/2013	3/8/2017