DEPARTMENT OF INSURANCE
Affiliations
NameWallace, Thomas RayDOIID525960NAIC NPN7217666
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities7/3/20035/8/2008 
InactiveResidentAgentHealth8/17/20015/8/2008 
InactiveResidentAgentLife8/17/20015/8/2008 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmpower Annuity Insurance Company of America300259Agent - Life1/30/200310/16/2003
InactiveEverlake Life Insurance Company300873Agent - Life3/1/20058/15/2007
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities3/1/20055/8/2008
InactiveJackson National Life Insurance Company300486Agent - Life10/18/200211/11/2005
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life7/7/200312/16/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health5/8/200212/19/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life5/8/200212/19/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/3/200312/19/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/8/200212/19/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/8/200212/19/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/3/200312/19/2005
InactiveTransamerica Life Insurance Company300571Agent - Life10/16/20038/2/2004
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/16/20038/2/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life10/16/20038/2/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities10/16/20038/2/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/21/20045/8/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/21/20045/8/2008
InactiveWestern National Life Insurance Company300461Agent - Life8/31/200111/15/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Health8/17/200111/1/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Life8/17/200111/1/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life4/27/20042/27/2007
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/2/20042/27/2007
InactivePNC Insurance Services LLC400874Agent - Life2/23/20074/25/2007
DeniedPNC Insurance Services LLC400874Agent - Health  

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