DEPARTMENT OF INSURANCE

Affiliations

Name	Shroyer, Thomas Alton	DOIID	306431	NAIC NPN	7158477

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	2/21/1992	3/1/2001
Inactive	Resident	Agent	Life	3/3/1977	2/1/2016
Inactive	Resident	Agent	Casualty	8/15/2000	2/1/2016
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	2/1/2016
Inactive	Resident	Agent	General Lines	4/4/1973	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	2/1/2016
Inactive	Resident	Agent	Health	3/3/1977	2/1/2016
* 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	ACE American Insurance Company	300625	Agent - General Lines	8/5/1992	3/31/1998
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	8/5/1992	3/31/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	12/17/2001
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	3/12/1982	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	12/17/2001
Inactive	AIG Assurance Company	300897	Agent - Casualty	3/1/2007	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	3/1/2007	10/2/2010
Inactive	American Alternative Insurance Corporation	301697	Agent - General Lines	5/29/1996	8/28/1997
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	10/7/2002
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	12/13/1984	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	10/7/2002
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	2/1/2016
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	2/1/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	2/1/2016
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	2/1/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	2/19/1998	8/15/2000
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/15/2000	4/22/2002
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	9/10/2013	2/1/2016
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	9/10/2013	2/1/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	8/5/1992	3/31/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	2/10/1998	10/1/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	2/10/1998	10/1/2001
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	1/20/1998	2/4/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	1/20/1998	2/4/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	2/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	2/1/2016
Inactive	Century Indemnity Company	301310	Agent - General Lines	8/5/1992	3/31/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/13/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/13/1994	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	8/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	2/25/2009	11/22/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	2/25/2009	11/22/2011
Inactive	Conseco Insurance Company	301202	Agent - Life	12/27/1994	4/30/1999
Inactive	Countryway Insurance Company	300809	Agent - Casualty	7/21/2003	3/26/2014
Inactive	Countryway Insurance Company	300809	Agent - Property	7/21/2003	3/26/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/25/2007	3/19/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	9/1/2004	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	9/1/2004	8/22/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/5/1985	2/10/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/5/1985	2/10/2009
Inactive	Granite State Insurance Company	300818	Agent - Casualty	3/1/2007	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	3/1/2007	10/2/2010
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	4/29/2003	11/21/2003
Inactive	Hallmark National Insurance Company	300494	Agent - Property	4/29/2003	11/21/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	4/4/1973	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	10/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	9/27/1977	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	10/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	4/4/1973	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	10/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/22/1986	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	10/17/2014
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/18/1990	12/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/18/1990	12/8/2009
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	8/15/2000	11/10/2008
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	9/25/1985	8/15/2000
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	8/15/2000	11/10/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/26/1989	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	10/17/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	2/21/1992	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	4/16/1998	8/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	4/16/1998	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004	8/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/7/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/7/2008	2/23/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	3/1/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	3/1/2007	10/2/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	8/5/1992	3/31/1998
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/16/1994	3/31/1998
Inactive	Insurance Company of North America	300226	Agent - General Lines	8/31/1992	3/31/1998
Inactive	Inter-State Assurance Company	301556	Agent - Life	7/17/1995	3/20/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	3/3/1977	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/3/1977	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/11/2000	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/11/2000	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2008	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/13/2008	8/20/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	2/1/2016
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/3/1986	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	2/1/2016
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/9/1999	1/28/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/9/1999	1/28/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	3/31/2001	1/2/2003
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	4/11/2003	11/21/2003
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	4/11/2003	11/21/2003
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	3/16/1977	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	11/21/2003
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	8/10/1995	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	11/21/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/25/1996	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/25/1996	11/17/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/18/1997	5/12/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	7/12/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	1/14/1993	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	7/12/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/1/2004	12/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/1/2004	12/17/2014
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Omni Insurance Company	301545	Agent - General Lines	11/17/1987	3/31/2000
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Owners Insurance Company	300796	Agent - General Lines	2/19/1998	8/15/2000
Inactive	Owners Insurance Company	300796	Agent - Property	8/15/2000	4/22/2002
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	8/5/1992	3/31/1998
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/25/2011
Inactive	Professional Insurance Company	301281	Agent - Health	4/20/1998	6/30/2006
Inactive	Professional Insurance Company	301281	Agent - Life	4/20/1998	6/30/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	12/8/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	12/8/2015
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	5/13/2002	3/22/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Property	5/13/2002	3/22/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/13/2002	3/22/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/13/2002	3/22/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	5/13/2002	3/22/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	5/13/2002	3/22/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/29/1997	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/29/1997	11/10/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	9/27/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	9/27/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	2/1/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	9/17/1997	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	2/1/2016
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/13/1999	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/13/1999	10/1/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/29/2003	11/21/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/29/2003	11/21/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	11/21/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	11/21/2003
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/22/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	10/17/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	4/4/1973	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	10/17/2014
Inactive	Union Security Insurance Company	301844	Agent - Health	10/29/1986	11/20/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	10/29/1986	11/20/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/25/1996	9/27/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/25/1996	9/27/2003
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/20/1999	12/22/2009
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	7/21/1999	12/18/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	7/21/1999	12/18/2002
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	3/21/2001	12/18/2002
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/16/2003
Inactive	Western Surety Company	300283	Agent - General Lines	1/27/1976	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Westfield Insurance Company	301950	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	6/23/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	5/10/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	2/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/1/2016
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance Associates Inc.	398312	Agent - Life	10/3/2003	8/20/2012
Inactive	Insurance Associates Inc.	398312	Agent - Health	10/3/2003	8/20/2012
Inactive	Insurance Associates Inc.	398312	Agent - Property	10/3/2003	2/1/2016
Inactive	Insurance Associates Inc.	398312	Agent - Casualty	10/3/2003	2/1/2016
Inactive	J. W. Hall & Sons Inc.	398277	Agent - Life	5/29/2003	8/20/2012
Inactive	J. W. Hall & Sons Inc.	398277	Agent - Health	5/29/2003	8/20/2012
Inactive	J. W. Hall & Sons Inc.	398277	Agent - Property	5/29/2003	2/1/2016
Inactive	J. W. Hall & Sons Inc.	398277	Agent - Casualty	5/29/2003	2/1/2016
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	5/22/1997	5/18/1999