DEPARTMENT OF INSURANCE
Affiliations
NameShuck Jr, Thomas GrantDOIID783350NAIC NPN16668721
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/12/20125/1/2018 
InactiveResidentAgentLife6/12/20125/1/2018 
InactiveResidentAgentVariable Life and Variable Annuities11/14/20125/1/2018 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican National Insurance Company301861Agent - Health4/18/20165/1/2018
InactiveAmerican National Insurance Company301861Agent - Life4/18/20165/1/2018
InactiveBanner Life Insurance Company301696Agent - Life3/29/20165/1/2018
InactiveBrighthouse Life Insurance Company301829Agent - Health4/5/20165/1/2018
InactiveBrighthouse Life Insurance Company301829Agent - Life4/5/20165/1/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life5/4/20165/16/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health4/4/20162/22/2017
InactiveNew York Life Insurance Company300431Agent - Health6/13/20125/30/2014
InactiveNew York Life Insurance Company300431Agent - Life6/13/20125/30/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health6/13/20125/30/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life6/13/20125/30/2014
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities11/16/20125/30/2014
InactiveOmaha Insurance Company751908Agent - Health4/4/20162/22/2017
InactivePacific Life Insurance Company301848Agent - Life3/11/20166/7/2018
InactivePruco Life Insurance Company300954Agent - Life3/25/20165/1/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/4/20163/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/4/20163/22/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNYLIFE Securities, LLC645470Agent - Life11/20/20122/25/2014
InactiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities11/20/20122/25/2014

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