DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Douglas Glenn	DOIID	708535	NAIC NPN	1273785

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/29/2009	12/31/2014
Inactive	Non Resident	Agent	Life	6/29/2009	12/31/2014
* 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 Republic Insurance Company	300861	Agent - Health	7/6/2009	6/20/2013
Inactive	American Republic Insurance Company	300861	Agent - Life	7/6/2009	6/20/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/15/2010	12/31/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/9/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/9/2010	12/26/2012
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	7/6/2009	6/20/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	9/14/2010	4/8/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2010	4/8/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2011	4/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Republic Ins Services LLC	782049	Agent - Life	5/16/2012	4/17/2013
Inactive	American Republic Ins Services LLC	782049	Agent - Health	5/16/2012	4/17/2013
Inactive	American Republic Insurance Services, LLC	653747	Agent - Life	7/8/2009	5/9/2011
Inactive	American Republic Insurance Services, LLC	653747	Agent - Health	7/8/2009	5/9/2011