DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Beal, Thomas William	DOIID	702566	NAIC NPN	104096

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/30/2009	9/30/2019
Inactive	Non Resident	Agent	Health	3/30/2009	9/30/2019
* 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
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/9/2014	9/30/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/17/2018	9/30/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/17/2018	9/30/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/8/2009	3/18/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/8/2009	3/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Life	7/11/2018	9/30/2019
Inactive	Acrisure LLC	696181	Agent - Health	7/19/2018	9/30/2019