DEPARTMENT OF INSURANCE

Affiliations

Name	Fields II, Thomas Ray	DOIID	393709	NAIC NPN	2855355

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	9/8/1997	8/3/1999
Inactive	Non Resident	Agent	Life	4/14/2003	6/30/2008
Inactive	Resident	Agent	Mortgage Redemption	11/4/1997	9/27/1999
Inactive	Non Resident	Agent	Health	4/14/2003	6/30/2008
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	4/14/2003	6/30/2008
* 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
Inactive	American General Life Insurance Company	301585	Agent - Life	3/8/2005	6/30/2008
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	8/18/1999	9/29/1999
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/18/1999	9/29/1999
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/29/2001	7/1/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	3/19/2001	7/1/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/22/2002	7/1/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/22/2002	7/1/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/5/2003	11/28/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/5/2003	11/30/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	8/5/2003	11/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/4/2003	6/30/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	8/4/2003	6/30/2008
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	8/5/2003	11/30/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	8/5/2003	11/30/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	11/4/1997	9/27/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/1/2003	6/30/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/1/2003	6/30/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/1/2003	6/30/2008
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	10/7/2002	12/2/2002
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	5/5/2003	6/30/2008
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	5/5/2003	6/30/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/1/2005	6/30/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/1/2005	6/30/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	6/1/2005	6/30/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/24/2003	6/30/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/24/2003	6/30/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	4/24/2003	6/30/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/2/2003	11/14/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/2/2003	11/14/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/2/2003	11/14/2004
Inactive	New England Life Insurance Company	300343	Agent - Health	1/17/2002	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Life	1/17/2002	7/1/2002
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	1/17/2002	7/1/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/26/2001	7/1/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Health	5/22/2001	7/1/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Life	5/22/2001	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Life	9/20/2001	7/1/2002
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	9/20/2001	7/1/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/28/2003	6/30/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/28/2003	6/30/2008
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	4/28/2003	6/30/2008
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/14/1998	8/3/1999
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	1/31/2005	6/30/2008
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	1/31/2005	6/30/2008
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	6/11/2002	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/14/2003	6/30/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/14/2003	6/30/2008
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	4/14/2003	6/30/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/14/2003	6/30/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	4/14/2003	6/30/2008
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	4/14/2003	6/30/2008
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	9/11/2000	12/21/2001
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	9/11/2000	12/21/2001
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Variable Life and Variable Annuities	1/25/2001	7/1/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/11/2004	6/30/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/11/2004	6/30/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/8/1997	9/9/1998
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	8/8/2001	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/20/2001	7/1/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	7/20/2001	7/1/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/14/2002	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Life	4/30/2003	2/8/2005
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Health	4/30/2003	2/8/2005
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Variable Life and Variable Annuities	4/30/2003	2/8/2005
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	7/5/2001	7/1/2002
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	7/5/2001	7/1/2002
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Variable Life and Variable Annuities	7/5/2001	7/1/2002
Inactive	MidAmerica Investment Services, Inc.	400939	Agent - Credit Life & Health	9/8/1997	8/3/1999