DEPARTMENT OF INSURANCE
Affiliations
NameRoy, Thomas EDOIID313826NAIC NPN1196891
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/3/20065/31/2011 
InactiveNon ResidentAgentHealth10/3/20065/31/2011 
InactiveNon ResidentAgentVariable Life and Variable Annuities12/9/20105/31/2011 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health9/3/20025/31/2005
InactiveAmerican General Life Insurance Company301585Agent - Life11/1/20015/31/2005
InactiveAnthem Life Insurance Company301209Agent - Health12/1/20065/31/2011
InactiveAnthem Life Insurance Company301209Agent - Life12/1/20065/31/2011
InactiveAugustar Life Insurance Company301816Agent - Health11/20/20005/31/2005
InactiveAugustar Life Insurance Company301816Agent - Life11/20/20005/31/2005
InactiveC.M. Life Insurance Company301335Agent - Health4/8/20045/31/2005
InactiveC.M. Life Insurance Company301335Agent - Life4/8/20045/31/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Health3/5/20025/31/2005
InactiveChase Insurance Life and Annuity Company300518Agent - Life3/5/20025/31/2005
InactiveCincinnati Life Insurance Company (The)300601Agent - Health5/22/200012/17/2002
InactiveCincinnati Life Insurance Company (The)300601Agent - Life5/22/200012/17/2002
InactiveDelaware Life Insurance Company301256Agent - Life3/3/20055/31/2005
InactiveEmpower Annuity Insurance Company of America300259Agent - Health1/5/20075/31/2011
InactiveEmpower Annuity Insurance Company of America300259Agent - Life1/5/20075/31/2011
InactiveEncova Life Insurance Company301818Agent - Life2/20/20019/30/2004
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health3/5/20025/31/2005
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life3/5/20025/31/2005
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/29/20025/31/2005
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/29/20025/31/2005
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/19/20024/10/2002
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/19/20024/10/2002
InactiveGolden Rule Insurance Company301943Agent - Health9/12/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life9/12/19953/31/1997
InactiveInter-State Assurance Company301556Agent - Life7/17/200012/19/2001
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health10/5/20015/31/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life10/5/20015/31/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health10/5/20015/31/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life10/5/20015/31/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/29/20015/31/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/29/20015/31/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health1/29/20015/31/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/29/20015/31/2005
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/8/20045/31/2005
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/8/20045/31/2005
InactiveNassau Life Insurance Company301406Agent - Health11/8/20005/31/2005
InactiveNassau Life Insurance Company301406Agent - Life11/8/20005/31/2005
InactiveNassau Life and Annuity Company513671Agent - Health11/8/20005/31/2005
InactiveNassau Life and Annuity Company513671Agent - Life11/8/20005/31/2005
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health12/28/20064/8/2010
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life12/28/20064/8/2010
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health12/18/20003/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life12/18/20003/31/2003
InactivePHL Variable Insurance Company300525Agent - Health11/8/20005/31/2005
InactivePHL Variable Insurance Company300525Agent - Life11/8/20005/31/2005
InactivePan-American Life Insurance Company301530Agent - Health3/23/20015/31/2005
InactivePan-American Life Insurance Company301530Agent - Life3/23/20015/31/2005
InactivePaul Revere Life Insurance Company300971Agent - Health3/26/199312/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life3/26/199312/11/2002
InactivePaul Revere Protective Life Insurance Company (The)301428Agent - Life3/26/19934/23/1999
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/18/19965/31/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/18/19965/31/2005
InactiveSecurity Life Insurance Company of America300936Agent - Health3/1/200212/2/2004
InactiveSecurity Life Insurance Company of America300936Agent - Life3/1/200212/2/2004
InactiveSecurity Life of Denver Insurance Company300648Agent - Health4/9/20015/31/2005
InactiveSecurity Life of Denver Insurance Company300648Agent - Life4/9/20015/31/2005
InactiveSun Life Assurance Company of Canada301811Agent - Life11/27/20005/31/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/23/20015/31/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/23/20015/31/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/23/20015/31/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/23/20015/31/2005
InactiveTime Insurance Company300683Agent - Health2/17/19957/31/1998
InactiveTime Insurance Company300683Agent - Life2/17/19957/31/1998
InactiveTransamerica Life Insurance Company300571Agent - Life1/7/200212/31/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health1/12/20015/31/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life1/12/20015/31/2005
InactiveUnion Security Insurance Company301844Agent - Health6/1/199811/25/2003
InactiveWest Coast Life Insurance Company301607Agent - Life9/19/200312/17/2004
InactiveWestern National Life Insurance Company300461Agent - Life10/27/20004/21/2003
InactiveWilco Life Insurance Company300122Agent - Life12/27/20005/31/2005
Inactive300277Agent - Life3/4/20025/31/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life12/1/20066/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health12/1/20066/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/27/20085/31/2011
InactiveDesignated Agent Company Inc.681257Agent - Health6/27/20085/31/2011
InactiveHUB International Midwest Limited398717Agent - Life10/30/200011/27/2002
InactiveHUB International Midwest Limited398717Agent - Health10/30/200011/27/2002

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