DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Telsalla L	DOIID	1305610	NAIC NPN	19077455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/17/2023		10/31/2026
Active	Non Resident	Agent	Health	10/17/2023		10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/28/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/28/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/28/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alight Health Market Insurance Solutions Inc	643602	Agent - Life
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	2/11/2025	4/4/2025