DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Nancy Ann	DOIID	365542	NAIC NPN	7198273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	3/9/1995	1/10/1999
Inactive	Resident	Agent	Life	3/8/2000	6/1/2016
Inactive	Resident	Agent	Health	3/8/2000	6/1/2016
Inactive	Resident	Agent	Health Maintenance Organization	3/8/2000	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Berkshire Life Insurance Company of America	300983	Agent - Health
Denied	Berkshire Life Insurance Company of America	300983	Agent - Life
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	6/1/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/11/2011	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/11/2011	7/2/2013
Inactive	Continental Casualty Company	301019	Agent - Health	3/15/2004	12/16/2004
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	2/23/2008
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	2/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/6/2005	6/1/2016
Denied	EMC National Life Company	300388	Agent - Health
Denied	EMC National Life Company	300388	Agent - Life
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/9/2007	2/23/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/9/2007	2/23/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/18/2011	6/10/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/18/2011	6/10/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/29/2004	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/29/2004	12/11/2009
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/13/2016	6/1/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2004	6/1/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2004	6/1/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2004	6/1/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2004	6/1/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/27/2004	6/1/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/30/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/30/2012	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/29/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/29/2014	10/22/2015
Inactive	Medical Life Insurance Company	300693	Agent - Health	3/26/2001	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	3/26/2001	12/31/2004
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/21/2009	6/1/2016
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/21/2009	6/1/2016
Denied	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health
Denied	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life
Inactive	Superior Dental Care Inc.	300418	Agent - Health	3/3/2015	6/1/2016
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	7/6/2001	12/29/2006
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	7/6/2001	12/29/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/22/2008	12/14/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/22/2008	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/22/2008	12/14/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/8/2000	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/22/2008	12/14/2009
Denied	West Coast Life Insurance Company	301607	Agent - Health
Denied	West Coast Life Insurance Company	301607	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/7/2008	6/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	6/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	6/1/2016
Inactive	Hartfield Louisville, LLC	659359	Agent - Life	7/20/2007	6/1/2016
Inactive	Hartfield Louisville, LLC	659359	Agent - Health	7/20/2007	6/1/2016
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	6/1/2016
Inactive	Willis of Louisville, Inc.	401313	Adjuster - Independent	3/9/1995	1/10/1999
Inactive	Willis of Louisville, Inc.	401313	Agent - Life	10/19/2000	7/3/2007
Inactive	Willis of Louisville, Inc.	401313	Agent - Health	10/19/2000	7/3/2007