DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Welch, Thomas Francis	DOIID	591855	NAIC NPN	7825878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	12/22/2004		7/31/2024
Active	Non Resident	Agent	Life	8/9/2004		7/31/2024
Active	Non Resident	Agent	Health	8/9/2004		7/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	05/15/2024	07/31/2024
Agent	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Prudential Insurance Company of America	300784	Agent - Health	6/13/2005
Active	Prudential Insurance Company of America	300784	Agent - Life	6/13/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Johnson Rooney Welch Inc	584426	Administrator - Not Applicable	12/22/2004	4/17/2024
Inactive	Johnson Rooney Welch Inc	584426	Agent - Health	12/13/2005	1/5/2024
Inactive	Johnson Rooney Welch Inc	584426	Agent - Life	12/13/2005	1/5/2024