DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison Iii, Thomas Clouse	DOIID	881650	NAIC NPN	16246114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/25/2015	12/31/2020
* 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	Brighthouse Life Insurance Company	301829	Agent - Life	7/2/2015	2/10/2020
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/23/2017	2/4/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/2/2015	2/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MSI Financial Services Inc	731395	Agent - Life	6/9/2016	4/4/2017