DEPARTMENT OF INSURANCE

Name	Childers, Thomas Joseph	DOIID	324578	NAIC NPN	3102545

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	7/25/1989	8/15/2000
Inactive	Resident	Agent	Health	2/4/1992	5/6/2009
Inactive	Resident	Agent	Assessment Chapter 299	9/26/1998	12/1/2000
Inactive	Resident	Agent	Life	2/4/1992	5/6/2009
Inactive	Resident	Agent	Property	8/15/2000	5/6/2009
Inactive	Resident	Agent	Health Maintenance Organization	7/12/1988	3/1/2001
Inactive	Resident	Agent	Casualty	8/15/2000	5/6/2009
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/22/1993	5/6/2009

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	320 Parkway Plaza Loop P.O. Box 922Whitesburg, KY 41858
Residence	Not Public Information