DEPARTMENT OF INSURANCE
Affiliations
NameBlock, Thomas CourtneyDOIID803274NAIC NPN7637520
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/8/20137/31/2017 
InactiveNon ResidentAgentLife2/8/20137/31/2017 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/8/20137/31/2017 
* 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
InactiveBanner Life Insurance Company301696Agent - Life6/20/20138/4/2016
InactiveHCC Life Insurance Company301827Agent - Health9/3/201510/3/2016
InactiveJackson National Life Insurance Company300486Agent - Life8/22/20167/31/2017
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/22/20167/31/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/25/20134/25/2016
InactiveUnified Life Insurance Company543169Agent - Health9/9/20157/31/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedMML Insurance Agency LLC398679Agent - Health  
InactiveMML Insurance Agency LLC398679Agent - Variable Life and Variable Annuities5/17/20136/2/2016
InactiveMML Insurance Agency LLC398679Agent - Life5/17/20138/4/2016

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