DEPARTMENT OF INSURANCE

Affiliations

Name	Girouard, John E	DOIID	961493	NAIC NPN	402046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/26/2017	10/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	7/26/2017	10/31/2025
Active	Non Resident	Agent	Life	7/26/2017	10/31/2025
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	7/31/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	7/31/2020
Active	Penn Insurance and Annuity Company	300712	Agent - Life	7/27/2017
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	7/27/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	TBS Agency, Inc.	502294	Agent - Life	10/1/2024
Denied	TBS Agency, Inc.	502294	Agent - Health
Active	TBS Agency, Inc.	502294	Agent - Variable Life and Variable Annuities	10/1/2024