DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Balchik, Thomas James	DOIID	701662	NAIC NPN	8900541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/13/2009		8/31/2025
* 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
Active	American General Life Insurance Company	301585	Agent - Life	3/1/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/29/2012	12/5/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/23/2016	7/15/2019
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/9/2009	7/2/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/10/2011	3/9/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	LPL FINANCIAL LLC	399327	Agent - Life	1/12/2016
Active	Linsco/Private Ledger Insurance Associates, Inc.	400524	Agent - Life	4/10/2013