DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Yacovino, Thomas Michael	DOIID	791230	NAIC NPN	4947346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/12/2012	7/31/2019
Inactive	Non Resident	Agent	Life	9/12/2012	7/31/2019
* 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	American Equity Investment Life Insurance Company	300389	Agent - Life	9/24/2012	6/20/2014
Inactive	Columbian Mutual Life Insurance Company	301130	Agent - Life	9/24/2012	9/27/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	7/23/2013	12/30/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/2/2012	8/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/2/2012	8/22/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	1/21/2015	7/31/2019
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	1/21/2015	7/31/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/2/2012	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/2/2012	8/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roster Financial LLC	666247	Agent - Life	11/2/2012	3/31/2017
Inactive	Roster Financial LLC	666247	Agent - Health	11/2/2012	3/31/2017