DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gorman, Thomas Chaon	DOIID	873737	NAIC NPN	16818570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/4/2022		3/31/2027
Inactive	Non Resident	Agent	Health	4/1/2015	3/31/2019
* 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	Banner Life Insurance Company	301696	Agent - Life	4/20/2015	8/3/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/16/2015	12/14/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/16/2015	6/12/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/16/2015	6/12/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/5/2017	12/19/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/5/2017	12/19/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/8/2015	6/14/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/16/2015	6/30/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/16/2015	6/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	10/22/2015	5/30/2017
Inactive	SelectQuote Insurance Services	533194	Agent - Health	10/22/2015	5/30/2017