DEPARTMENT OF INSURANCE
Affiliations
NameThomas, Michael WayneDOIID345810NAIC NPN66518
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/6/200612/31/2021 
InactiveResidentAgentGeneral Lines3/12/19925/11/1998 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/6/200612/31/2021 
InactiveNon ResidentAgentHealth2/6/200612/31/2021 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health1/4/201112/20/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/4/201112/20/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/4/201112/20/2013
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines3/12/19925/11/1998
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201212/31/2021
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - General Lines3/12/19923/31/1996
InactiveAmerican Motorists Insurance Company301212Agent - General Lines3/12/19923/31/1996
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines5/2/19975/11/1998
InactiveContinental Insurance Company (The)301242Agent - General Lines1/31/19973/31/1998
InactiveEquitable Financial Life Insurance Company300808Agent - Life2/27/201312/21/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/27/20134/24/2019
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines5/2/19973/31/1998
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines5/2/19975/11/1998
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines5/2/19973/31/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Health12/22/19925/11/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Life12/22/19925/11/1998
InactiveHumana Insurance Company301104Agent - Health3/5/19915/11/1998
InactiveHumana Insurance Company301104Agent - Life3/5/19915/11/1998
InactiveJackson National Life Insurance Company300486Agent - Life2/17/19955/11/1998
InactiveJohn Alden Life Insurance Company300573Agent - Health4/4/19974/13/1998
InactiveJohn Alden Life Insurance Company300573Agent - Life4/4/19974/13/1998
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/8/201111/19/2016
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/6/200711/19/2016
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/6/200711/19/2016
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines5/2/19973/31/1998
InactiveLumbermens Mutual Casualty Company301119Agent - General Lines3/12/19923/31/1996
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health6/15/19953/31/1997
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life6/15/19953/31/1997
InactivePacific Life Insurance Company301848Agent - Life3/15/20069/16/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/15/20069/16/2010
InactivePioneer Life Insurance Company300110Agent - Health4/10/19911/2/1997
InactivePioneer Life Insurance Company300110Agent - Life4/10/19911/2/1997
InactiveProtective Life Insurance Company300638Agent - Health4/1/19915/11/1998
InactiveProtective Life Insurance Company300638Agent - Life4/1/19915/11/1998
InactivePruco Life Insurance Company300954Agent - Health7/17/200911/25/2020
InactivePruco Life Insurance Company300954Agent - Life7/17/200911/25/2020
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities7/17/200911/25/2020
InactiveReassure America Life Insurance Company301902Agent - Health4/6/19955/11/1998
InactiveReassure America Life Insurance Company301902Agent - Life4/6/19955/11/1998
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/16/200612/24/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/16/200612/24/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/16/200612/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/16/200612/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/16/200612/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/16/200612/24/2015
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health6/17/19923/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life6/17/19923/31/1997
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/16/200712/22/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities4/16/200712/22/2009
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health2/25/201312/31/2021
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life2/25/201312/31/2021
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities2/25/201312/31/2021
InactiveWestern National Life Insurance Company300461Agent - Life3/14/200612/31/2012
Inactive301729Agent - General Lines3/12/19923/31/1996
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanc of America Insurance Services, Inc.400875Agent - Life3/15/20068/10/2010
InactiveBanc of America Insurance Services, Inc.400875Agent - Health3/15/20068/10/2010
InactiveBanc of America Insurance Services, Inc.400875Agent - Variable Life and Variable Annuities3/15/20068/10/2010
InactiveBanc of America Investment Service, Inc.583248Agent - Life3/23/200611/20/2009
InactiveBanc of America Investment Service, Inc.583248Agent - Health3/23/200611/20/2009
InactiveBanc of America Investment Service, Inc.583248Agent - Variable Life and Variable Annuities3/23/200611/20/2009
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life7/14/20092/5/2021
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health7/14/20092/5/2021
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities7/14/20092/5/2021
InactiveSouthern Brokers Inc.399821Agent - Life6/14/19905/11/1998
InactiveSouthern Brokers Inc.399821Agent - Health6/14/19905/11/1998
InactiveVan Meter Insurance Agency Inc.398810Agent - Life11/4/19915/11/1998
InactiveVan Meter Insurance Agency Inc.398810Agent - Health11/4/19915/11/1998

© Commonwealth of Kentucky. All rights reserved.