DEPARTMENT OF INSURANCE

Affiliations

Name	Richardson, Thomas	DOIID	745475	NAIC NPN	16125070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/7/2011	12/1/2012
Inactive	Resident	Agent	Life	1/7/2011	12/1/2012
* 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	Bankers Life and Casualty Company	300701	Agent - Health	1/7/2011	7/18/2011
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	1/7/2011	7/18/2011
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	1/7/2011	7/18/2011
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	1/7/2011	7/18/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/24/2011	12/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/24/2011	12/1/2012
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/2/2011	2/3/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2011	12/1/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/24/2011	12/1/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/24/2011	12/1/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/24/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/24/2011	2/23/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	7/16/2011	12/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/24/2011	12/1/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/24/2011	12/1/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/28/2012	12/1/2012
Inactive	Time Insurance Company	300683	Agent - Health	12/2/2011	2/3/2012
Inactive	Time Insurance Company	300683	Agent - Life	12/2/2011	2/3/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/28/2012	12/1/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/28/2012	12/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	7/15/2011	12/1/2012
Inactive	Medlink Inc	400721	Agent - Health	7/15/2011	12/1/2012