DEPARTMENT OF INSURANCE

Affiliations

Name	Ward, Thomas J	DOIID	628375	NAIC NPN	1876948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	7/31/2020		7/31/2024
Inactive	Non Resident	Agent	Life	3/21/2006	7/31/2008
* 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.

License Renewal Information

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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	1/13/2021	6/4/2024
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	3/27/2006	7/31/2008
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	3/27/2006	7/31/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/27/2006	7/31/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	3/27/2006	7/31/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	6/29/2006	7/31/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Variable Life and Variable Annuities	6/29/2006	7/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Executive Ins Agency Inc	400244	Agent - Variable Life and Variable Annuities	2/12/2021	6/4/2024