DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Thomas R	DOIID	738839	NAIC NPN	1456333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2010	8/31/2028
Active	Non Resident	Agent	Life	10/4/2010	8/31/2028
Active	Non Resident	Agent	Casualty	10/4/2010	8/31/2028
Active	Non Resident	Agent	Property	10/4/2010	8/31/2028
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/22/2012	5/17/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	5/22/2012	5/17/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	5/22/2012	12/9/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	5/22/2012	12/9/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/22/2012	12/9/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/22/2012	12/9/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	7/9/2026
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	7/9/2026
Inactive	American General Life Insurance Company	301585	Agent - Health	3/3/2022	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	3/3/2022	12/20/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/13/2015	10/6/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/13/2015	10/6/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/16/2019	10/6/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/16/2019	10/6/2026
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2015	11/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/24/2013	6/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/24/2013	6/29/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/21/2011	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/21/2011	12/7/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/20/2010	12/15/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/20/2010	12/15/2017
Active	Encompass Insurance Company	300188	Agent - Casualty	7/19/2024
Active	Encompass Insurance Company	300188	Agent - Property	7/19/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/27/2011	12/20/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/27/2011	12/20/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/7/2011	10/2/2026
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/7/2011	10/2/2026
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/7/2011	10/2/2026
Inactive	Grange Insurance Company	300234	Agent - Property	1/7/2011	10/2/2026
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/7/2011	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/7/2011	3/31/2021
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/7/2011	10/2/2026
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/7/2011	10/2/2026
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	1/30/2012	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	1/30/2012	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/5/2012	8/15/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/5/2012	8/15/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/12/2015	8/15/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/12/2015	8/15/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/22/2012	5/17/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/22/2012	5/17/2022
Active	Integon Indemnity Corporation	300674	Agent - Casualty	7/19/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	7/19/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Inactive	Root Insurance Company	964834	Agent - Casualty	1/7/2026	7/16/2026
Inactive	Root Insurance Company	964834	Agent - Property	1/7/2026	7/16/2026
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/12/2016	7/9/2026
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/12/2016	7/9/2026
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/12/2016	7/9/2026
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/12/2016	7/9/2026
Inactive	Time Insurance Company	300683	Agent - Health	7/1/2011	11/29/2012
Inactive	Time Insurance Company	300683	Agent - Life	7/1/2011	11/29/2012
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	7/13/2015	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	7/13/2015	11/14/2021
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/7/2011	10/2/2026
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/7/2011	10/2/2026
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	12/1/2014	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	12/1/2014	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allegiance Ins Services Inc	713513	Agent - Life	4/6/2011	12/20/2023
Active	Allegiance Ins Services Inc	713513	Agent - Health	4/6/2011
Active	Allegiance Ins Services Inc	713513	Agent - Property	4/6/2011
Active	Allegiance Ins Services Inc	713513	Agent - Casualty	4/6/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/24/2013	6/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/24/2013	6/30/2021
Inactive	Medlink Inc	400721	Agent - Life	4/22/2013	3/31/2021
Inactive	Medlink Inc	400721	Agent - Health	4/22/2013	3/31/2021
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Life	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Health	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Property	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Casualty	6/4/2024