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DEPARTMENT OF INSURANCE
Affiliations
Name
Roy, Thomas E
DOIID
313826
NAIC NPN
1196891
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
10/3/2006
5/31/2011
Inactive
Non Resident
Agent
Health
10/3/2006
5/31/2011
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
12/9/2010
5/31/2011
* 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 General Life Insurance Company
301585
Agent - Health
9/3/2002
5/31/2005
Inactive
American General Life Insurance Company
301585
Agent - Life
11/1/2001
5/31/2005
Inactive
Anthem Life Insurance Company
301209
Agent - Health
12/1/2006
5/31/2011
Inactive
Anthem Life Insurance Company
301209
Agent - Life
12/1/2006
5/31/2011
Inactive
Augustar Life Insurance Company
301816
Agent - Health
11/20/2000
5/31/2005
Inactive
Augustar Life Insurance Company
301816
Agent - Life
11/20/2000
5/31/2005
Inactive
C.M. Life Insurance Company
301335
Agent - Health
4/8/2004
5/31/2005
Inactive
C.M. Life Insurance Company
301335
Agent - Life
4/8/2004
5/31/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
3/5/2002
5/31/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
3/5/2002
5/31/2005
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Health
5/22/2000
12/17/2002
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Life
5/22/2000
12/17/2002
Inactive
Delaware Life Insurance Company
301256
Agent - Life
3/3/2005
5/31/2005
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Health
1/5/2007
5/31/2011
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
1/5/2007
5/31/2011
Inactive
Encova Life Insurance Company
301818
Agent - Life
2/20/2001
9/30/2004
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
3/5/2002
5/31/2005
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
3/5/2002
5/31/2005
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
3/29/2002
5/31/2005
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
3/29/2002
5/31/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
3/19/2002
4/10/2002
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
3/19/2002
4/10/2002
Inactive
Golden Rule Insurance Company
301943
Agent - Health
9/12/1995
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
9/12/1995
3/31/1997
Inactive
Inter-State Assurance Company
301556
Agent - Life
7/17/2000
12/19/2001
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
10/5/2001
5/31/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
10/5/2001
5/31/2005
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
10/5/2001
5/31/2005
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
10/5/2001
5/31/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
1/29/2001
5/31/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
1/29/2001
5/31/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
1/29/2001
5/31/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
1/29/2001
5/31/2005
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
4/8/2004
5/31/2005
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/8/2004
5/31/2005
Inactive
Nassau Life Insurance Company
301406
Agent - Health
11/8/2000
5/31/2005
Inactive
Nassau Life Insurance Company
301406
Agent - Life
11/8/2000
5/31/2005
Inactive
Nassau Life and Annuity Company
513671
Agent - Health
11/8/2000
5/31/2005
Inactive
Nassau Life and Annuity Company
513671
Agent - Life
11/8/2000
5/31/2005
Inactive
Northwestern Mutual Life Insurance Company
300931
Agent - Health
12/28/2006
4/8/2010
Inactive
Northwestern Mutual Life Insurance Company
300931
Agent - Life
12/28/2006
4/8/2010
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
12/18/2000
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
12/18/2000
3/31/2003
Inactive
PHL Variable Insurance Company
300525
Agent - Health
11/8/2000
5/31/2005
Inactive
PHL Variable Insurance Company
300525
Agent - Life
11/8/2000
5/31/2005
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
3/23/2001
5/31/2005
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
3/23/2001
5/31/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
3/26/1993
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
3/26/1993
12/11/2002
Inactive
Paul Revere Protective Life Insurance Company (The)
301428
Agent - Life
3/26/1993
4/23/1999
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
9/18/1996
5/31/2005
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
9/18/1996
5/31/2005
Inactive
Security Life Insurance Company of America
300936
Agent - Health
3/1/2002
12/2/2004
Inactive
Security Life Insurance Company of America
300936
Agent - Life
3/1/2002
12/2/2004
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
4/9/2001
5/31/2005
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
4/9/2001
5/31/2005
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
11/27/2000
5/31/2005
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/23/2001
5/31/2005
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
4/23/2001
5/31/2005
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
4/23/2001
5/31/2005
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
4/23/2001
5/31/2005
Inactive
Time Insurance Company
300683
Agent - Health
2/17/1995
7/31/1998
Inactive
Time Insurance Company
300683
Agent - Life
2/17/1995
7/31/1998
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
1/7/2002
12/31/2002
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/12/2001
5/31/2005
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/12/2001
5/31/2005
Inactive
Union Security Insurance Company
301844
Agent - Health
6/1/1998
11/25/2003
Inactive
West Coast Life Insurance Company
301607
Agent - Life
9/19/2003
12/17/2004
Inactive
Western National Life Insurance Company
300461
Agent - Life
10/27/2000
4/21/2003
Inactive
Wilco Life Insurance Company
300122
Agent - Life
12/27/2000
5/31/2005
Inactive
300277
Agent - Life
3/4/2002
5/31/2005
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
12/1/2006
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
12/1/2006
6/23/2008
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/27/2008
5/31/2011
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/27/2008
5/31/2011
Inactive
HUB International Midwest Limited
398717
Agent - Life
10/30/2000
11/27/2002
Inactive
HUB International Midwest Limited
398717
Agent - Health
10/30/2000
11/27/2002
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