black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TOM BAILEY JR

PRODUCER NON-RESIDENT

License Number:
PRN352189
Status:
First Licensure:
04/03/2020
Cancel Date:
None

Mailing:
INDIANAPOLIS, IN 46218
Phone:
+1 (765) 621-9670
Fax:
+1 (765) 621-9670
Email:
tbj217@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/03/2020

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
09/30/2022 LHF250
STARMOUNT LIFE INSURANCE COMPANY
09/30/2022 LHD131525
UNUM INSURANCE COMPANY
09/30/2022 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
09/30/2022 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 04/03/2020 Active
LIFE 04/03/2020 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1883991

Other Addresses

Address Type
INDIANAPOLIS, IN 46218
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/15/2025 08:20:27 PM