DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gorman, Thomas Chaon	DOIID	873737	NAIC NPN	16818570

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/4/2022		3/31/2025
Inactive	Non Resident	Agent	Health	4/1/2015	3/31/2019
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/20/2015	8/3/2017
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/16/2015	12/14/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	4/16/2015	6/12/2017
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	4/16/2015	6/12/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/5/2017	12/19/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/5/2017	12/19/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/8/2015	6/14/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/16/2015	6/30/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/16/2015	6/30/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SelectQuote Insurance Services	533194	Agent - Life	10/22/2015	5/30/2017
Inactive	SelectQuote Insurance Services	533194	Agent - Health	10/22/2015	5/30/2017