Individual Information

THOMAS JAMES ARCHER

HOUSTON, TX 77055-6714

Active

licensing@emgbrokerage.com

04/05/2002

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	84941	04/05/2002	Active	04/05/2002	04/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	04/05/2002	Active	04/05/2002
Life	04/05/2002	Active	04/05/2002
Health	04/05/2002	Inactive	04/05/2002
Life	04/05/2002	Inactive	04/05/2002

Company Name	Appointment Type	Status	Active Date
283
BANNER LIFE INSURANCE COMPANY	Life	Active	05/10/2002
1408
Company Name	Appointment Type	Status	Active Date
HUMANA HEALTH PLAN INCORPORATED	Health	Active	08/11/2016
971
Company Name	Appointment Type	Status	Active Date
HUMANA INSURANCE COMPANY	Health	Active	08/11/2016
	Life	Active	08/11/2016
141630
Company Name	Appointment Type	Status	Active Date
HUMANA WISCONSIN HEALTH ORGANIZATION INSURANCE CORPORATION	Health	Active	02/19/2018
378
Company Name	Appointment Type	Status	Active Date
LINCOLN NATIONAL LIFE INSURANCE COMPANY	Health	Active	07/08/2003
	Life	Active	07/08/2003
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	06/03/2011
549
Company Name	Appointment Type	Status	Active Date
PROTECTIVE LIFE INSURANCE COMPANY	Health	Active	06/03/2002
	Life	Active	06/03/2002
564
Company Name	Appointment Type	Status	Active Date
RELIANCE STANDARD LIFE INSURANCE COMPANY	Life	Active	01/03/2022
944
Company Name	Appointment Type	Status	Active Date
SIERRA HEALTH AND LIFE INSURANCE COMPANY	Health	Active	09/08/2017
	Life	Active	09/08/2017

row(s) 1 - 13 of 13

Organization	Association Type	Type	Beg dte	End dte
ELITE INSURANCE AGENCY, INC.	Designated Resp Lic Prdcr	Agency	05/20/2021	-

1 - 1