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DEPARTMENT OF INSURANCE
Affiliations
Name
Mack, Thomas M
DOIID
545529
NAIC NPN
1242367
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
12/1/2004
3/31/2012
Inactive
Non Resident
Agent
Health
12/1/2004
3/31/2012
Inactive
Non Resident
Agent
Life
12/1/2004
3/31/2012
* 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
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
3/31/2012
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/7/2007
3/31/2012
Inactive
Delaware Life Insurance Company
301256
Agent - Life
6/6/2002
9/22/2004
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
6/6/2002
9/22/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/22/2003
9/24/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/22/2003
9/24/2004
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
5/31/2002
9/22/2004
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
5/31/2002
9/22/2004
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
5/31/2002
9/22/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/31/2003
9/22/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
11/27/2002
9/22/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
5/30/2002
11/7/2002
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
5/30/2002
11/7/2002
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
12/16/2002
9/24/2004
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
12/16/2002
9/24/2004
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
12/7/2004
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
12/7/2004
12/7/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Life
6/26/2002
9/24/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
6/26/2002
9/24/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Life
6/26/2002
9/24/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
6/26/2002
9/24/2004
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
11/20/2002
9/24/2004
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
11/20/2002
9/24/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/22/2008
10/25/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/22/2008
10/25/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
2/22/2008
10/25/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
2/22/2008
10/25/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/22/2008
10/25/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
2/22/2008
10/25/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/12/2002
9/24/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/12/2002
9/24/2004
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
6/24/2002
11/7/2002
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
6/24/2002
11/7/2002
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
6/24/2002
11/7/2002
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/12/2002
11/7/2002
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
SBS Insurance Brokers of Kentucky Inc.
398096
Agent - Health
3/11/2008
4/21/2009
Inactive
SBS Insurance Brokers of Kentucky Inc.
398096
Agent - Life
12/26/2007
4/21/2009
Inactive
SBS Insurance Brokers of Kentucky Inc.
398096
Agent - Variable Life and Variable Annuities
12/26/2007
4/21/2009
Inactive
Sbhu Life Agency Inc
689591
Agent - Health
11/17/2008
9/17/2010
Inactive
Sbhu Life Agency Inc
689591
Agent - Life
11/17/2008
9/17/2010
Inactive
Sbhu Life Agency Inc
689591
Agent - Variable Life and Variable Annuities
11/17/2008
9/17/2010
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Health
2/28/2003
9/24/2004
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Life
2/28/2003
9/24/2004
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Variable Life and Variable Annuities
2/28/2003
9/24/2004
Inactive
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Life
6/6/2011
3/31/2012
Inactive
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Variable Life and Variable Annuities
6/6/2011
3/31/2012
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