DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Carolyn Thomas	DOIID	377454	NAIC NPN	1511180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	9/14/2007		6/30/2025
Active	Resident	Agent	Life	9/14/2007		6/30/2025
Active	Resident	Agent	Property	9/14/2007		6/30/2025
Active	Resident	Agent	Health	9/14/2007		6/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	9/14/2007		6/30/2025
Inactive	Resident	Agent	General Lines	3/2/1998	8/15/2000
* 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
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	4/4/2023
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	4/4/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/7/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/23/2007	6/30/2007
Inactive	Humana Insurance Company	301104	Agent - Health	4/28/2008	6/25/2020
Inactive	Humana Insurance Company	301104	Agent - Life	4/28/2008	6/25/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/28/2008	5/28/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/28/2008	5/28/2015
Inactive	Nassau Life Insurance Company	301406	Agent - Life	6/5/2002	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Variable Life and Variable Annuities	6/5/2002	12/14/2004
Denied	Nassau Life and Annuity Company	513671	Agent - Life
Denied	Nassau Life and Annuity Company	513671	Agent - Variable Life and Variable Annuities
Inactive	PHL Variable Insurance Company	300525	Agent - Life	5/3/2002	12/14/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Variable Life and Variable Annuities	5/3/2002	12/14/2004
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/7/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	3/2/1998	8/15/2000
Active	State Farm Fire and Casualty Company	301809	Agent - Property	1/7/2008
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	1/7/2008	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	3/2/1998	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	1/7/2008	11/17/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	1/7/2008
Active	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	1/7/2008
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/7/2008
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	3/2/1998	8/15/2000
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/7/2008
Inactive	Time Insurance Company	300683	Agent - Health	5/26/2010	8/5/2016
Inactive	Time Insurance Company	300683	Agent - Life	5/26/2010	8/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Life	4/15/2010
Active	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Health	4/15/2010
Denied	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Variable Life and Variable Annuities
Active	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Property	4/15/2010
Active	Carolyn Thomas Thompson Insurance Agency, Inc.	597982	Agent - Casualty	4/15/2010
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	4/12/2001	2/25/2004