DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Jack F	DOIID	544477	NAIC NPN	2448773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/8/2004		7/31/2027
Active	Non Resident	Agent	Casualty	11/8/2004		7/31/2027
Active	Non Resident	Agent	Property	11/8/2004		7/31/2027
Active	Non Resident	Agent	Health	11/8/2004		7/31/2027
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/11/2014	5/21/2019
* 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	05/15/2025	07/31/2025	05/02/2025	05/02/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/18/2005	3/27/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/18/2005	3/27/2010
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/27/2010	10/6/2011
Inactive	Aetna Health Insurance Company	301583	Agent - Health	1/27/2010	7/24/2018
Active	Aetna Health Insurance Company	301583	Agent - Life	1/27/2010
Active	AmGUARD Insurance Company	500010	Agent - Casualty	1/8/2021
Active	AmGUARD Insurance Company	500010	Agent - Property	1/8/2021
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	11/11/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	11/11/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/29/2005	10/4/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/29/2005	10/4/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	12/25/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	12/25/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/11/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/11/2015	11/14/2021
Inactive	American National Insurance Company	301861	Agent - Health	4/22/2014	6/11/2021
Inactive	American National Insurance Company	301861	Agent - Life	4/22/2014	9/24/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2007	12/7/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	7/14/2014
Inactive	Continental Casualty Company	301019	Agent - Health	8/14/2002	9/30/2003
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/11/2010	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/11/2010	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/11/2010	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/11/2010	12/13/2018
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	5/14/2002	9/30/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	7/18/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/18/2005	12/27/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2005
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2005	12/20/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2005	12/20/2024
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/18/2006
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/18/2006
Active	Grange Insurance Company	300234	Agent - Casualty	9/18/2006
Active	Grange Insurance Company	300234	Agent - Property	9/18/2006
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/18/2006	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/18/2006	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/25/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/25/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/18/2005	3/27/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/18/2005	3/27/2010
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/20/2005	4/23/2009
Inactive	Great American Assurance Company	300327	Agent - Property	10/20/2005	4/23/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/20/2005	4/23/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/20/2005	4/23/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/21/2011	12/4/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/21/2011	12/4/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/21/2009	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	12/21/2009	7/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	12/21/2009	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/29/2010	7/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/29/2010	7/14/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	3/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	3/27/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/21/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/21/2009	4/25/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	7/18/2005	12/27/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	7/18/2005	12/27/2013
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	12/22/2004	4/20/2005
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/15/2005	6/22/2006
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	6/15/2005	6/22/2006
Active	NorGUARD Insurance Company	500015	Agent - Casualty	1/8/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	3/27/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	3/27/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/16/2002	9/30/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/16/2002	9/30/2003
Active	Root Insurance Company	964834	Agent - Casualty	12/27/2024
Active	Root Insurance Company	964834	Agent - Property	12/27/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/14/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/14/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/14/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/14/2018
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	5/14/2002	9/30/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/14/2002	9/30/2003
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/21/2016	8/16/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/21/2016	8/16/2017
Inactive	Sentry Insurance Company	300222	Agent - Casualty	12/22/2004	4/20/2005
Inactive	Sentry Insurance Company	300222	Agent - Property	12/22/2004	4/20/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Health	12/22/2004	4/20/2005
Inactive	Sentry Life Insurance Company	301461	Agent - Life	12/22/2004	4/20/2005
Inactive	State Mutual Insurance Company	300359	Agent - Health	1/28/2002	10/30/2002
Inactive	State Mutual Insurance Company	300359	Agent - Life	1/28/2002	9/30/2003
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	11/14/2005	4/9/2024
Inactive	Stillwater Insurance Company	567181	Agent - Property	11/14/2005	4/9/2024
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/30/2018	9/25/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/30/2018	9/25/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/18/2006
Active	Trustgard Insurance Company	300104	Agent - Property	9/18/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/14/2017	12/5/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/14/2017	12/5/2018
Inactive	USG Annuity & Life Company	300457	Agent - Life	5/14/2002	9/30/2003
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	3/14/2007	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	3/14/2007	10/23/2024
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	3/14/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	3/14/2007	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	10/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/28/2002	1/14/2003
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	3/28/2002	1/14/2003
Active	Pathway Ins Services Inc	608110	Agent - Health	2/12/2009
Active	Pathway Ins Services Inc	608110	Agent - Life	2/12/2009
Active	Pathway Ins Services Inc	608110	Agent - Casualty	7/20/2005
Active	Pathway Ins Services Inc	608110	Agent - Property	7/20/2005
Inactive	Pathway Ins Services Inc	608110	Surplus Lines Broker - Not Applicable	11/11/2014	5/21/2019
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	9/30/2003
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	9/30/2003