DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mason, Thomas Miles	DOIID	660966	NAIC NPN	6741574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/13/2019		12/31/2024
Active	Non Resident	Agent	Property	11/13/2019		12/31/2024
Active	Non Resident	Agent	Health	11/13/2019		12/31/2024
Active	Non Resident	Agent	Life	11/13/2019		12/31/2024
* 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
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Middlesex Insurance Company	590568	Agent - Casualty	11/18/2019
Active	Middlesex Insurance Company	590568	Agent - Property	11/18/2019
Active	Sentry Casualty Company	590569	Agent - Casualty	11/18/2019
Active	Sentry Casualty Company	590569	Agent - Property	11/18/2019
Active	Sentry Insurance Company	300222	Agent - Casualty	11/18/2019
Active	Sentry Insurance Company	300222	Agent - Property	11/18/2019
Active	Sentry Life Insurance Company	301461	Agent - Health	11/18/2019
Active	Sentry Life Insurance Company	301461	Agent - Life	11/18/2019
Active	Sentry Select Insurance Company	301648	Agent - Casualty	11/18/2019
Active	Sentry Select Insurance Company	301648	Agent - Property	11/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Stevens Agency LLC	558419	Agent - Casualty	8/19/2022
Active	Parker Stevens Agency LLC	558419	Agent - Health	8/19/2022
Active	Parker Stevens Agency LLC	558419	Agent - Life	8/19/2022
Active	Parker Stevens Agency LLC	558419	Agent - Property	8/19/2022