DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Thomas R	DOIID	738839	NAIC NPN	1456333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/4/2010	8/31/2026
Active	Non Resident	Agent	Casualty	10/4/2010	8/31/2026
Active	Non Resident	Agent	Property	10/4/2010	8/31/2026
Active	Non Resident	Agent	Health	10/4/2010	8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	5/22/2012	5/17/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	5/22/2012	5/17/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	5/22/2012	12/9/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	5/22/2012	12/9/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/22/2012	12/9/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/22/2012	12/9/2020
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	3/3/2022	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	3/3/2022	12/20/2023
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/13/2015
Active	American Modern Home Insurance Company	300791	Agent - Property	7/13/2015
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/16/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/16/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2015	11/14/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/24/2013	6/29/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/24/2013	6/29/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/21/2011	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/21/2011	12/7/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/20/2010	12/15/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	12/20/2010	12/15/2017
Active	Encompass Insurance Company	300188	Agent - Casualty	7/19/2024
Active	Encompass Insurance Company	300188	Agent - Property	7/19/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/27/2011	12/20/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/27/2011	12/20/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/28/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/28/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/7/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Property	1/7/2011
Active	Grange Insurance Company	300234	Agent - Casualty	1/7/2011
Active	Grange Insurance Company	300234	Agent - Property	1/7/2011
Inactive	Grange Life Insurance Company	300128	Agent - Health	1/7/2011	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/7/2011	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/7/2011
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/7/2011
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	1/30/2012	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	1/30/2012	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/5/2012	8/15/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/5/2012	8/15/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/12/2015	8/15/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/12/2015	8/15/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/22/2012	5/17/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/22/2012	5/17/2022
Active	Integon Indemnity Corporation	300674	Agent - Casualty	7/19/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	7/19/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Active	Root Insurance Company	964834	Agent - Casualty	1/7/2026
Active	Root Insurance Company	964834	Agent - Property	1/7/2026
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/12/2016
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/12/2016
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/12/2016
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/12/2016
Inactive	Time Insurance Company	300683	Agent - Health	7/1/2011	11/29/2012
Inactive	Time Insurance Company	300683	Agent - Life	7/1/2011	11/29/2012
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	7/13/2015	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	7/13/2015	11/14/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	1/7/2011
Active	Trustgard Insurance Company	300104	Agent - Property	1/7/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	12/1/2014	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	12/1/2014	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allegiance Ins Services Inc	713513	Agent - Life	4/6/2011	12/20/2023
Active	Allegiance Ins Services Inc	713513	Agent - Health	4/6/2011
Active	Allegiance Ins Services Inc	713513	Agent - Property	4/6/2011
Active	Allegiance Ins Services Inc	713513	Agent - Casualty	4/6/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/24/2013	6/30/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/24/2013	6/30/2021
Inactive	Medlink Inc	400721	Agent - Life	4/22/2013	3/31/2021
Inactive	Medlink Inc	400721	Agent - Health	4/22/2013	3/31/2021
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Life	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Health	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Property	6/4/2024
Active	Tom Wallace Insurance Agency, LLC	744199	Agent - Casualty	6/4/2024