DEPARTMENT OF INSURANCE
Affiliations
NameLerose, Thomas JDOIID336298NAIC NPN1722619
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/31/19951/31/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/31/20081/31/2018 
InactiveNon ResidentAgentLife10/31/19951/31/2018 
* 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 - Health4/6/20151/31/2018
InactiveAmerican General Life Insurance Company301585Agent - Life4/6/20151/31/2018
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/6/20151/31/2018
InactiveLincoln Life Assurance Company of Boston301915Agent - Life9/18/20151/31/2018
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/5/20087/22/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/5/20087/22/2010
InactivePaul Revere Life Insurance Company300971Agent - Health1/26/199812/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life1/26/199812/11/2002
InactivePruco Life Insurance Company300954Agent - Health10/31/199512/13/2000
InactivePruco Life Insurance Company300954Agent - Life10/31/199512/13/2000
InactivePrudential Insurance Company of America300784Agent - Health10/31/199512/13/2000
InactivePrudential Insurance Company of America300784Agent - Life10/31/199512/13/2000
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/6/200811/23/2012
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/6/200811/23/2012
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities8/6/200811/23/2012
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/6/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/6/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/6/200811/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedUnited Brokerage Services, Inc.502863Agent - Life  
DeniedUnited Brokerage Services, Inc.502863Agent - Health  

© Commonwealth of Kentucky. All rights reserved.