DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

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