DEPARTMENT OF INSURANCE

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
Active	Resident	Agent	Limited Line Credit	2/22/2023		10/31/2024
Inactive	Resident	Agent	Life	5/31/2017	11/1/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/14/2023
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