DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carter, Thomas M	DOIID	1072930	NAIC NPN	8611607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/3/2020		7/31/2026
Active	Non Resident	Agent	Life	2/3/2020		7/31/2026
* 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	05/15/2024	07/31/2024	06/17/2024	06/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/25/2022
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	7/25/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/15/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/15/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/25/2022	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/18/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/15/2020
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	3/15/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	3/15/2020