DEPARTMENT OF INSURANCE
Affiliations
NameThom-October, Colette TinyDOIID627116NAIC NPN8667918
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/2/2006 5/31/2026
ActiveNon ResidentAgentLife12/12/2006 5/31/2026
ActiveNon ResidentAgentPersonal Lines10/7/2016 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202605/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Personal Lines10/21/2019 
InactiveAmerican Southern Home Insurance Company626276Agent - Personal Lines4/10/201711/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Personal Lines9/1/2020 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/2/20138/17/2016
InactiveCompBenefits Insurance Company301864Agent - Health1/5/20107/13/2012
InactiveCompBenefits Insurance Company301864Agent - Life1/5/20107/13/2012
InactiveDental Concern Inc. (The)301641Agent - Health7/2/20138/17/2016
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines1/6/2017 
ActiveHomesite Insurance Company301139Agent - Personal Lines11/28/2016 
ActiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines7/14/2017 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/11/20164/10/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/2/20138/17/2016
InactiveHumana Health Plan, Inc.300142Agent - Health7/2/20138/17/2016
InactiveHumana Insurance Company301104Agent - Health7/2/20138/17/2016
InactiveHumana Insurance Company301104Agent - Life7/2/20138/17/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/2/20138/17/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/2/20138/17/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20148/17/2016
InactiveHumanaDental Insurance Company301457Agent - Health12/22/20067/13/2012
InactiveHumanaDental Insurance Company301457Agent - Life12/22/20067/13/2012
InactiveKanawha Insurance Company300127Agent - Health7/2/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/2/201310/22/2015
ActiveNationwide General Insurance Company300603Agent - Personal Lines12/18/2019 
InactiveNationwide Insurance Company of America300333Agent - Personal Lines11/18/20198/25/2023
ActiveProgressive Direct Insurance Company301379Agent - Personal Lines10/13/2016 
InactiveQBE Insurance Corporation300515Agent - Personal Lines11/30/201611/7/2022
InactiveTrusted Resource Underwriters Exchange of Ohio581481Agent - Personal Lines1/4/201811/14/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHumana MarketPOINT Inc.398092Agent - Health4/2/20097/13/2012
InactiveHumana MarketPOINT Inc.398092Agent - Life4/2/20097/13/2012

© Commonwealth of Kentucky. All rights reserved.