DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Jack F	DOIID	544477	NAIC NPN	2448773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/8/2004		7/31/2027
Active	Non Resident	Agent	Casualty	11/8/2004		7/31/2027
Active	Non Resident	Agent	Property	11/8/2004		7/31/2027
Active	Non Resident	Agent	Health	11/8/2004		7/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/11/2014	5/21/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/18/2005	3/27/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/18/2005	3/27/2010
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/27/2010	10/6/2011
Inactive	Aetna Health Insurance Company	301583	Agent - Health	1/27/2010	7/24/2018
Active	Aetna Health Insurance Company	301583	Agent - Life	1/27/2010
Active	AmGUARD Insurance Company	500010	Agent - Casualty	1/8/2021
Active	AmGUARD Insurance Company	500010	Agent - Property	1/8/2021
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	11/11/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	11/11/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/29/2005	10/4/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/29/2005	10/4/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/25/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/25/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/11/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/11/2015	11/14/2021
Inactive	American National Insurance Company	301861	Agent - Health	4/22/2014	6/11/2021
Inactive	American National Insurance Company	301861	Agent - Life	4/22/2014	9/24/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2007	12/7/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/14/2014
Inactive	Continental Casualty Company	301019	Agent - Health	8/14/2002	9/30/2003
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/11/2010	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/11/2010	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/11/2010	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/11/2010	12/13/2018
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	5/14/2002	9/30/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	7/18/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/18/2005	12/27/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2005
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2005	12/20/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2005	12/20/2024
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	6/10/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	6/10/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/18/2006
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/18/2006
Active	Grange Insurance Company	300234	Agent - Casualty	9/18/2006
Active	Grange Insurance Company	300234	Agent - Property	9/18/2006
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/18/2006	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/18/2006	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/25/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/25/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/18/2005	3/27/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/18/2005	3/27/2010
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/20/2005	4/23/2009
Inactive	Great American Assurance Company	300327	Agent - Property	10/20/2005	4/23/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/20/2005	4/23/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/20/2005	4/23/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/21/2011	12/4/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/21/2011	12/4/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/21/2009	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	12/21/2009	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/21/2009	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/29/2010	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/29/2010	7/14/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	3/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	3/27/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/21/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/21/2009	4/25/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	7/18/2005	12/27/2013
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	12/22/2004	4/20/2005
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/15/2005	6/22/2006
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/15/2005	6/22/2006
Active	NorGUARD Insurance Company	500015	Agent - Casualty	1/8/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	3/27/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	3/27/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/16/2002	9/30/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/16/2002	9/30/2003
Active	Root Insurance Company	964834	Agent - Casualty	12/27/2024
Active	Root Insurance Company	964834	Agent - Property	12/27/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/14/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/14/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/14/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/14/2018
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	5/14/2002	9/30/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/14/2002	9/30/2003
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/21/2016	8/16/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/21/2016	8/16/2017
Inactive	Sentry Insurance Company	300222	Agent - Casualty	12/22/2004	4/20/2005
Inactive	Sentry Insurance Company	300222	Agent - Property	12/22/2004	4/20/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Health	12/22/2004	4/20/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Life	12/22/2004	4/20/2005
Inactive	State Mutual Insurance Company	300359	Agent - Health	1/28/2002	10/30/2002
Inactive	State Mutual Insurance Company	300359	Agent - Life	1/28/2002	9/30/2003
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	11/14/2005	4/9/2024
Inactive	Stillwater Insurance Company	567181	Agent - Property	11/14/2005	4/9/2024
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/30/2018	9/25/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/30/2018	9/25/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/18/2006
Active	Trustgard Insurance Company	300104	Agent - Property	9/18/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/14/2017	12/5/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/14/2017	12/5/2018
Inactive	USG Annuity & Life Company	300457	Agent - Life	5/14/2002	9/30/2003
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/14/2007	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/14/2007	10/23/2024
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	3/14/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	3/14/2007	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	10/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/28/2002	1/14/2003
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	3/28/2002	1/14/2003
Active	Pathway Ins Services Inc	608110	Agent - Health	2/12/2009
Active	Pathway Ins Services Inc	608110	Agent - Life	2/12/2009
Active	Pathway Ins Services Inc	608110	Agent - Casualty	7/20/2005
Active	Pathway Ins Services Inc	608110	Agent - Property	7/20/2005
Inactive	Pathway Ins Services Inc	608110	Surplus Lines Broker - Not Applicable	11/11/2014	5/21/2019
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	9/30/2003
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	9/30/2003