Individual Information

KENNETH C THOMALLA

Address:

NAPLES, FL 34103-4733

Status:

Active

Email:

ken.thomalla@epicbrokers.com

Date:

05/17/2004

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	188571	05/17/2004	Active	05/17/2004	05/31/2028

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/07/2014	Active	04/07/2014
Health	05/17/2004	Active	05/17/2004
Life	05/17/2004	Active	05/17/2004
Property	04/07/2014	Active	04/07/2014
Var. Annuities/Var. Life	04/07/2014	Inactive	04/13/2018

Company Name	Appointment Type	Status	Active Date
1101
C M LIFE INSURANCE COMPANY	Health	Active	06/11/2004
	Life	Active	06/11/2004
396
Company Name	Appointment Type	Status	Active Date
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY	Health	Active	06/11/2004
	Life	Active	06/11/2004
1666
Company Name	Appointment Type	Status	Active Date
MEDICAL PROTECTIVE COMPANY (THE)	Casualty	Active	05/02/2014
	Property	Active	05/02/2014
123394
Company Name	Appointment Type	Status	Active Date
UNITED LIFE INSURANCE COMPANY	Health	Active	09/10/2019
	Life	Active	09/10/2019

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Organization	Association Type	Type	Beg dte	End dte
TRELOAR & HEISEL INC	Designated Resp Lic Prdcr	Agency	03/13/2020	-

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