DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Buckman, Thomas	DOIID	954511	NAIC NPN	18412887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/31/2017	11/1/2018
Inactive	Resident	Agent	Limited Line Credit	2/22/2023	10/31/2024
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/14/2023	10/31/2024
Inactive	Modern Woodmen of America	301213	Agent - Life	6/5/2017	12/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank Of Columbia	399062	Agent - Limited Line Credit	6/14/2023	5/24/2024