black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS ROBERT MULLIGAN

PRODUCER NON-RESIDENT

License Number:
PRN266665
Status:
First Licensure:
04/06/2016
Cancel Date:
None

Mailing:
FORT WALTON BEACH, FL 32548
Phone:
+1 (800) 549-1664
Fax:
+1 (800) 549-1664
Email:
carolyn@termprovider.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/06/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
HEALTH IQ INS SERVICES INC
03/15/2017 AGN252322 03/06/2023
SELECTQUOTE INSURANCE SERVICES
04/11/2016 AGN22032 04/10/2017

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN GENERAL LIFE INSURANCE COMPANY
04/21/2016 LHF119
AMERITAS LIFE INSURANCE CORP
12/14/2018 LHF944
BANKERS FIDELITY LIFE INSURANCE COMPANY
04/27/2021 LHF84789 04/15/2022
BANNER LIFE INSURANCE COMPANY
04/25/2016 LHF50047 03/31/2025
C M LIFE INSURANCE COMPANY
06/02/2020 LHF906 03/21/2024
CMFG LIFE INSURANCE COMPANY
04/13/2021 LHF155 04/04/2022
GERBER LIFE INSURANCE COMPANY
10/19/2020 LHF185 08/13/2021
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
02/09/2017 LHF619 05/18/2017
MEMBERS LIFE INSURANCE COMPANY
10/11/2021 LHF756 04/04/2022
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
12/01/2020 LHF161852
PRUCO LIFE INSURANCE COMPANY
02/05/2018 LHF768 09/13/2023
TRANSAMERICA LIFE INSURANCE COMPANY
01/31/2017 LHF726 04/19/2017
TRANSAMERICA LIFE INSURANCE COMPANY
01/22/2021 LHF726 01/09/2023
UNITED OF OMAHA LIFE INSURANCE COMPANY
03/16/2020 LHF28 12/29/2021

Authority

Description Issue Date Termination Date Status
HEALTH 04/06/2016 Active
LIFE 04/06/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17215987

Other Addresses

Address Type
FORT WALTON BEACH, FL 32548
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: 10/14/2025 06:25:46 PM