DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dougall, Thomas	DOIID	1039566	NAIC NPN	18304328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	5/8/2019	3/31/2022
Inactive	Non Resident	Agent	Life	9/27/2021	3/31/2022
Pending Replacement	Non Resident	Agent	Health	8/26/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	3/14/2022	3/31/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	3/14/2022	3/31/2022
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/30/2024
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	1/29/2026
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/30/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/30/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	12/2/2021	3/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2021	3/31/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/6/2021	3/31/2022
Pending Replacement	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/18/2025
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/29/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/14/2022	3/31/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/3/2026	4/2/2026
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	5/16/2019	1/20/2020
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/30/2024
Pending Replacement	UnitedHealthcare Insurance Company	300946	Agent - Health	7/18/2025
Pending Replacement	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	6/5/2019	1/20/2020