DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Jordon F	DOIID	1155816	NAIC NPN	19908073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/31/2021		3/31/2027
Active	Non Resident	Agent	Life	12/22/2023		3/31/2027
Active	Non Resident	Staff Adjuster	Property & Casualty	12/19/2025		3/31/2027
* 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	01/15/2027	03/31/2027
Staff Adjuster	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/21/2021	7/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/21/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/21/2021	7/14/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/9/2022	5/9/2025
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	3/18/2025	8/27/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/21/2021	7/14/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/15/2022	5/9/2025
Inactive	Humana Insurance Company	301104	Agent - Health	10/27/2021	5/9/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/28/2021	5/9/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/18/2022	12/13/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/9/2024	11/14/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2024	4/22/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2024	4/22/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/13/2024	4/9/2025
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	2/13/2024	4/9/2025