DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burrows, Thomas Wilson	DOIID	547327	NAIC NPN	503819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/3/2019	6/30/2021
Inactive	Non Resident	Agent	Health	10/3/2019	6/30/2021
* 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	American General Life Insurance Company	301585	Agent - Health	12/28/2018	6/30/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	12/28/2018	6/30/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/8/2019	6/30/2019
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/2/2002	6/30/2009
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/2/2002	6/30/2009
Inactive	HM Life Insurance Company	301408	Agent - Health	11/3/2006	6/30/2009
Inactive	HM Life Insurance Company	301408	Agent - Life	11/3/2006	6/30/2009
Inactive	Lumico Life Insurance Company	300354	Agent - Health	2/14/2021	6/30/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/26/2019	8/18/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/30/2017	6/30/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/30/2017	6/30/2019
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	2/7/2019	6/30/2019
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/3/2019	6/30/2021
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/3/2019	6/30/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/30/2017	6/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/30/2017	6/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Health	11/18/2019	4/20/2020
Inactive	Optavise, LLC	671337	Agent - Life	11/18/2019	4/20/2020