DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas Jr, William Morgan	DOIID	880351	NAIC NPN	2798358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/12/2015		4/30/2025
Active	Non Resident	Agent	Health	6/12/2015		4/30/2025
Active	Non Resident	Agent	Property	6/12/2015		4/30/2025
Active	Non Resident	Agent	Life	6/12/2015		4/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/12/2015		4/30/2025
* 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	02/15/2025	04/30/2025
Surplus Lines Broker	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Country Mutual Insurance Company	301024	Agent - Casualty	3/20/2018
Active	Country Mutual Insurance Company	301024	Agent - Property	3/20/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	4/6/2023	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/6/2023	10/8/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/4/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tis Ins Services Inc	523150	Agent - Casualty	3/11/2020
Active	Tis Ins Services Inc	523150	Agent - Property	3/11/2020
Denied	Tis Ins Services Inc	523150	Agent - Life
Denied	Tis Ins Services Inc	523150	Agent - Health
Active	Tis Ins Services Inc	523150	Surplus Lines Broker - Not Applicable	7/31/2020