DEPARTMENT OF INSURANCE
Affiliations
NameCollins, Thomas RandalDOIID372604NAIC NPN829655
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 8/31/2025
ActiveResidentAgentHealth8/17/1982 8/31/2025
ActiveResidentAgentLife8/17/1982 8/31/2025
InactiveResidentAgentHealth Maintenance Organization5/8/19867/14/1997 
* 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 - Health3/26/200111/21/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/26/200111/21/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/31/19973/20/1998
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/31/19973/20/1998
InactiveAmerican General Life Insurance Company301585Agent - Health6/3/20078/15/2007
InactiveAmerican General Life Insurance Company301585Agent - Life6/3/20078/15/2007
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/3/20078/15/2007
InactiveAnthem Life Insurance Company301209Agent - Health1/31/19965/17/2017
InactiveAnthem Life Insurance Company301209Agent - Life1/31/19965/17/2017
InactiveAssurity Life Insurance Company301099Agent - Health12/11/200711/8/2010
InactiveAssurity Life Insurance Company301099Agent - Life12/11/200711/8/2010
InactiveBanner Life Insurance Company301696Agent - Life7/25/20129/5/2017
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200110/31/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200110/31/2006
InactiveChase Insurance Life and Annuity Company300518Agent - Life3/12/20034/1/2007
InactiveEmpower Annuity Insurance Company of America300259Agent - Health7/10/19963/7/2011
ActiveEmpower Annuity Insurance Company of America300259Agent - Life9/4/2015 
ActiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities9/4/2015 
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/18/201012/27/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/1/200512/27/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life2/2/20054/11/2008
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities2/2/200512/18/2018
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life12/2/20107/26/2016
InactiveFirst Colony Life Insurance Company301179Agent - Health2/19/200411/15/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life2/19/200411/15/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health1/21/200012/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life1/21/200012/23/2008
InactiveGuardian Life Insurance Company of America301316Agent - Health1/23/199210/31/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life1/23/199210/31/2006
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization5/8/19867/14/1997
ActiveIndependent Order of Foresters300743Agent - Health4/15/2024 
ActiveIndependent Order of Foresters300743Agent - Life4/15/2024 
InactiveInvestors Heritage Life Insurance Company300363Agent - Health10/28/199212/31/1998
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/28/199212/31/1998
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/25/200212/1/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/25/200212/1/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities11/25/200212/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health11/25/200212/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life11/25/200212/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities11/25/200212/1/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health8/23/201612/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/2/202210/8/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities8/2/202210/8/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/201210/13/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/201210/13/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/2/201210/13/2022
InactiveManhattan Life Insurance Company300880Agent - Health2/27/19971/23/2019
InactiveManhattan Life Insurance Company300880Agent - Life2/27/19975/15/2013
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/7/20116/24/2014
InactiveMidland National Life Insurance Company300923Agent - Health6/9/20002/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life6/9/20002/3/2003
InactiveMutual of Omaha Insurance Company301012Agent - Health3/15/20161/31/2017
InactiveNorth American Company for Life and Health Insurance300291Agent - Life9/14/19923/31/1997
ActiveNorthwestern Long Term Care Insurance Company300135Agent - Health5/28/1999 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health8/17/1982 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life8/17/1982 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities5/31/2001 
InactivePacific Life Insurance Company301848Agent - Life10/8/20038/14/2007
InactivePaul Revere Life Insurance Company300971Agent - Health9/13/200012/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life9/13/200012/11/2002
ActivePrincipal Life Insurance Company300129Agent - Health5/28/1987 
ActivePrincipal Life Insurance Company300129Agent - Life5/28/1987 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities11/15/2006 
ActivePrincipal National Life Insurance Company301926Agent - Life7/13/2021 
InactiveProtective Life Insurance Company300638Agent - Health2/7/200711/23/2009
InactiveProtective Life Insurance Company300638Agent - Life2/7/200711/23/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/7/200711/23/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/13/20008/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/13/200012/11/2002
InactivePruco Life Insurance Company300954Agent - Life12/6/201312/22/2016
InactiveReassure America Life Insurance Company301902Agent - Health10/22/20019/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life10/22/20019/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health12/14/20102/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Life12/14/20102/27/2016
InactiveSecurity Life of Denver Insurance Company300648Agent - Health2/12/200811/21/2008
InactiveSecurity Life of Denver Insurance Company300648Agent - Life2/12/200811/21/2008
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/31/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/31/200010/1/2003
ActiveStandard Insurance Company300185Agent - Health3/22/2016 
ActiveStandard Insurance Company300185Agent - Life3/22/2016 
ActiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities3/22/2016 
InactiveTransamerica Life Insurance Company300571Agent - Health9/19/201912/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Life9/19/201912/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/25/201112/15/2016
InactiveU.S. Financial Life Insurance Company301812Agent - Health2/12/19963/31/1997
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/17/20037/6/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health9/13/200012/11/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life9/13/200012/11/2002
InactiveUnion Central Life Insurance Company300307Agent - Health10/15/20076/10/2011
InactiveUnion Central Life Insurance Company300307Agent - Life10/15/20076/10/2011
InactiveWest Coast Life Insurance Company301607Agent - Health8/28/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life8/28/200911/16/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Lexington Inc.401285Agent - Life12/22/199512/10/2001
InactiveAcordia of Lexington Inc.401285Agent - Health12/22/199512/10/2001
InactiveAssociated Benefits Ltd.398481Agent - Life3/11/19863/31/2006
InactiveAssociated Benefits Ltd.398481Agent - Health3/11/19863/31/2006
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997

© Commonwealth of Kentucky. All rights reserved.