DEPARTMENT OF INSURANCE

Affiliations

Name	Block, Thomas J	DOIID	306168	NAIC NPN	7158381

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/20/2020		12/31/2026
Active	Resident	Agent	Health	11/5/2020		12/31/2026
Active	Resident	Agent	Casualty	8/15/2000		12/31/2026
Active	Resident	Agent	Property	8/15/2000		12/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	10/19/2021		12/31/2026
Inactive	Resident	Agent	General Lines	6/14/1996	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/28/2006	4/13/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/28/2006	4/13/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	1/7/2021	6/16/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	1/7/2021	6/16/2022
Active	American United Life Insurance Company	300498	Agent - Health	3/9/2021
Active	American United Life Insurance Company	300498	Agent - Life	3/9/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/28/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/20/2011
Active	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	4/12/2022
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/22/2004	2/7/2006
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/22/2004	2/7/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/21/2004	2/7/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/21/2004	2/7/2006
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/11/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/11/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	4/13/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	4/13/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/25/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/25/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	11/25/2021
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	6/14/1996	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/26/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/26/2021
Active	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	10/26/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/28/2006	4/13/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/28/2006	4/13/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/28/2006	4/13/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/28/2006	4/13/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	4/13/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	4/13/2018
Active	Pruco Life Insurance Company	300954	Agent - Life	11/23/2021
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	11/23/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/1/2022
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/1/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	3/3/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	3/3/2004
Active	Transamerica Life Insurance Company	300571	Agent - Life	3/18/2024
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	3/18/2024
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	7/17/2007
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	7/17/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	7/28/2006	4/13/2018
Inactive	West American Insurance Company	301112	Agent - Property	7/28/2006	4/13/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edward Frank Co Inc.	400640	Agent - General Lines	3/31/1999	8/15/2000
Inactive	Edward Frank Co Inc.	400640	Agent - Property	9/20/2006	8/31/2017
Inactive	Edward Frank Co Inc.	400640	Agent - Casualty	9/20/2006	8/31/2017
Inactive	Schwartz & Assoc Inc	400988	Agent - Property	6/28/2017	4/13/2018
Inactive	Schwartz & Assoc Inc	400988	Agent - Casualty	6/28/2017	4/13/2018