DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Simon P	DOIID	1157891	NAIC NPN	19277319

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/13/2021	2/8/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/4/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/13/2021	2/8/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/4/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	10/4/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/8/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/8/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/8/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/5/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/23/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/8/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/13/2021	2/8/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/16/2022	2/7/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/18/2023
Active	Humana Insurance Company	301104	Agent - Health	12/22/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/3/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/5/2022	2/7/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/21/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/4/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/23/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	1/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023