DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zack, Thomas Howard	DOIID	785051	NAIC NPN	997810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/27/2020		12/31/2025
Active	Non Resident	Agent	Property	7/27/2020		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/27/2020		12/31/2025
* 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
Inactive	Canal Insurance Company	301360	Agent - Casualty	8/26/2020	12/15/2021
Inactive	Canal Insurance Company	301360	Agent - Property	8/26/2020	12/15/2021
Inactive	Granite State Insurance Company	300818	Agent - Casualty	12/17/2012	12/31/2013
Inactive	Granite State Insurance Company	300818	Agent - Property	12/17/2012	12/31/2013
Active	HDI Global Insurance Company	676678	Agent - Casualty	1/22/2023
Active	HDI Global Insurance Company	676678	Agent - Property	1/22/2023
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	12/17/2012	12/31/2013
Inactive	Illinois National Insurance Company	301367	Agent - Property	12/17/2012	12/31/2013
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	12/17/2012	12/31/2013
Inactive	New Hampshire Insurance Company	301670	Agent - Property	12/17/2012	12/31/2013
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	2/28/2017	6/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Transportation Insurance Experts LLC	1071980	Agent - Property	8/17/2020	12/13/2021
Inactive	Transportation Insurance Experts LLC	1071980	Agent - Casualty	8/17/2020	12/13/2021
Inactive	Transportation Insurance Experts LLC	1071980	Surplus Lines Broker - Not Applicable	8/6/2020	12/13/2021