DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Korissa L	DOIID	597995	NAIC NPN	8272373

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/8/2004	9/30/2017
Inactive	Non Resident	Agent	Property	8/14/2013	9/30/2017
Inactive	Non Resident	Agent	Casualty	8/14/2013	9/30/2017
Inactive	Non Resident	Agent	Health	11/8/2004	9/30/2017
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2008	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2009	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/9/2009	9/30/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	3/10/2008	4/5/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	3/10/2008	4/5/2013
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	11/21/2016	9/30/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	11/21/2016	9/30/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/21/2016	9/30/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/21/2016	9/30/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/21/2016	9/30/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/21/2016	9/30/2017
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	12/11/2008	12/2/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	12/11/2008	12/2/2010
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/21/2016	9/30/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/21/2016	9/30/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/12/2011	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/12/2011	11/2/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	7/28/2008	11/3/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/28/2009	9/30/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/28/2009	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/28/2009	6/26/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/12/2008	6/11/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/2/2012	4/5/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/2/2012	4/5/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/15/2008	9/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/30/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	12/15/2008	1/24/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/23/2009	10/30/2013
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/23/2009	10/30/2013
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	4/20/2010	9/30/2017
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	4/20/2010	9/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	9/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/28/2009	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/28/2009	9/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/28/2009	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/28/2009	9/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/28/2009	9/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/26/2010	10/22/2015
Inactive	Medico Insurance Company	301559	Agent - Health	11/17/2011	4/10/2013
Inactive	Medico Insurance Company	301559	Agent - Life	11/17/2011	4/10/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/30/2004	12/26/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/1/2008	5/2/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/1/2008	5/2/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	4/17/2012	5/6/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	11/5/2008	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	11/5/2008	7/17/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/4/2012	1/21/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	11/1/2008	5/2/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/4/2012	4/24/2013
Inactive	United World Life Insurance Company	300532	Agent - Health	4/3/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/30/2004	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/30/2004	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/5/2008	8/15/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/5/2008	9/30/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	8/15/2014

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 - Health	4/12/2011	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/12/2011	11/2/2016