DEPARTMENT OF INSURANCE

Affiliations

Name	Hawthorne, Thomas Baskervill	DOIID	667574	NAIC NPN	9004116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/5/2007	1/31/2026
Active	Non Resident	Agent	Life	11/5/2007	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/18/2014	6/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/18/2014	6/29/2021
Active	Continental American Insurance Company	301700	Agent - Health	3/12/2025
Active	Continental American Insurance Company	301700	Agent - Life	3/12/2025
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/4/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/4/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/10/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/10/2007	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/10/2007	3/22/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/10/2007	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/10/2007	2/22/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/8/2008	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/8/2008	12/18/2012
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/19/2008
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	12/12/2014
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	12/12/2014
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/7/2015	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/7/2015	10/1/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/19/2008
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/19/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	James A Scott & Son Inc	509408	Agent - Life	12/21/2007
Active	James A Scott & Son Inc	509408	Agent - Health	12/21/2007
Inactive	Medlink Inc	400721	Agent - Life	12/18/2014	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/18/2014	3/31/2024