DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Jerry D	DOIID	388487	NAIC NPN	1461022

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/5/2024	4/30/2026
Active	Non Resident	Agent	Casualty	2/5/2024	4/30/2026
Active	Non Resident	Agent	Health	5/5/2020	4/30/2026
Active	Non Resident	Agent	Life	5/5/2020	4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/28/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	7/28/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/9/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/6/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/6/2020	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/4/2024
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/3/1988	3/31/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/3/1988	3/31/1997
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/18/2023
Active	SilverScript Insurance Company	663526	Agent - Health	7/28/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/31/2020	6/2/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/31/2020	6/2/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/24/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/24/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/28/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/28/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/10/2020	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/10/2020	2/11/2025