DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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