black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

GEORGE B. THOMAS

PRODUCER NON-RESIDENT

License Number:
PRN111468
Status:
First Licensure:
03/11/2005
Cancel Date:
None

Mailing:
DANVILLE, IL 61832
Phone:
+1 (217) 444-1165
Fax:
+1 (217) 446-7847
Email:
compliancelicensing@ccmsi.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/11/2005

Agency

Name Issue Date License Number Expiration Date Cancel Date
CANNON COCHRAN MANAGMENT SERVICES INC
04/11/2005 AGN109414

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE AMERICAN INSURANCE COMPANY
09/13/2005 PCF640 02/14/2009
ACE AMERICAN INSURANCE COMPANY
11/04/2021 PCF640
INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
09/13/2005 PCF50104 02/14/2009
MIDWEST EMPLOYERS CASUALTY COMPANY
11/04/2022 PCF77580
SAFETY NATIONAL CASUALTY CORPORATION
09/16/2009 PCF64889
WESTCHESTER FIRE INSURANCE COMPANY
09/13/2005 PCF335 02/14/2009
WESTPORT INSURANCE CORPORATION
03/18/2005 PCF863 07/10/2008

Authority

Description Issue Date Termination Date Status
CASUALTY 03/11/2005 Active
PROPERTY 03/11/2005 Active
HEALTH 03/11/2005 01/15/2019 Terminated
LIFE 03/11/2005 01/15/2019 Terminated
VARIABLE CONTRACTS 03/11/2005 01/15/2019 Terminated

Responsible For

Name License Number
CANNON COCHRAN MANAGEMENT SERVICES INC AFN105707
CANNON COCHRAN MANAGMENT SERVICES INC AGN109414

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
233517

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: 11/06/2025 04:18:21 AM