black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS FRANKLIN GREEN II

PRODUCER NON-RESIDENT

License Number:
PRN35786
Status:
First Licensure:
10/28/1992
Cancel Date:
None

Mailing:
BEDFORD, NH 03110
Phone:
+1 (603) 472-5188
Fax:
+1 (603) 472-5188
Email:
tfgreen@green-insurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 07/17/1996
*** NOT ACTIVE *** 10/04/1995 07/16/1996
PRODUCER NON-RESIDENT 10/28/1992 10/03/1995

Agency

Name Issue Date License Number Expiration Date Cancel Date
THOMAS F GREEN INSURANCE ASSOCIATES
12/19/1997 AGN52792
VOLUNTEER FIREMENS INSURANCE SERVICES INC
10/28/1992 AGN15199 10/04/1995
VOLUNTEER FIREMENS INSURANCE SERVICES INC
10/29/1992 AGN15199 10/04/1995

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN ALTERNATIVE INSURANCE CORP
07/17/1996 PCF381 06/12/2009
AMERICAN INTERNATIONAL LIFE ASSURANCE COMPANY OF NEW YORK
10/28/1992 LHF122 04/28/2003
COMBINED INSURANCE COMPANY OF AMERICA
03/02/2009 LHF144
HARTFORD LIFE & ACCIDENT INSURANCE COMPANY
01/16/2009 LHF193 09/26/2011
HUMANA INSURANCE COMPANY
09/21/2012 LHF980 07/14/2014
LIFE INSURANCE COMPANY OF NORTH AMERICA
10/16/2013 LHF205
NEW YORK LIFE INSURANCE COMPANY
05/18/2017 LHF230
NORTH AMERICAN COMPANY FOR LIFE AND HEALTH INSURANCE
01/06/2006 LHF231 03/22/2007
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
02/10/2000 LHF250 03/29/2007
UNITED STATES LIFE INSURANCE COMPANY IN THE CITY OF NY
02/23/2011 LHF654

Authority

Description Issue Date Termination Date Status Additional Information
CASUALTY 07/17/1996 Active
HEALTH 11/19/1996 Active
LIFE 11/19/1996 Active
PROPERTY 07/17/1996 Active
LIMITED TO HOME STATE 10/29/1992 10/04/1995 Terminated
Designated State

INDEPENDENT PRODUCER 10/01/1997 09/28/2011 Terminated
LIFE AND HEALTH 10/28/1992 10/04/1995 Terminated
PROPERTY AND CASUALTY 10/29/1992 10/04/1995 Terminated

Responsible For

Name License Number
THOMAS F GREEN INSURANCE ASSOCIATES AGN52792

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN45573
First Licensure:
04/30/1996
Cancel Date:
10/01/1997
Renewal Date:
01/01/1998

Mailing:
BEDFORD, NH 03110
Phone:
+1 (603) 472-5188
Fax:
+1 (603) 472-5188
Email:
tfgreen@green-insurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/30/1996 09/30/1997

Agency

None.

Employer

None.

Authority

Description Issue Date Termination Date Status
INDEPENDENT PRODUCER 04/30/1996 10/01/1997 Terminated
LIFE AND HEALTH 04/30/1996 10/01/1997 Terminated
PROPERTY AND CASUALTY 04/30/1996 10/01/1997 Terminated

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2046630

Other Addresses

Address Type
THOMAS F GREEN INSURANCE ASSOCIATES
9 FEDERATION DR
BEDFORD, NH 03110-5012
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: 05/20/2025 09:00:43 AM