DEPARTMENT OF INSURANCE

Affiliations

Name	Mayer, Thomas William	DOIID	600380	NAIC NPN	3150271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/30/2004	11/30/2022
Inactive	Non Resident	Agent	Property	6/15/2018	11/30/2022
Inactive	Non Resident	Agent	Health	12/30/2004	11/30/2022
Inactive	Non Resident	Agent	Casualty	6/15/2018	11/30/2022
* 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	ACE American Insurance Company	300625	Agent - Health	7/3/2012	1/6/2023
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	8/3/2018	7/13/2021
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	8/3/2018	7/13/2021
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	11/30/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	11/30/2022
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	9/17/2009	11/30/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/17/2012	4/10/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/5/2005	8/2/2011
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/5/2005	8/2/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2012	4/10/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/8/2017	6/2/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/25/2015	4/10/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/25/2015	4/10/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/25/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/17/2012	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/17/2012	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/25/2015	4/10/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/25/2015	4/10/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/17/2012	4/10/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/17/2012	4/10/2017
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/4/2006	11/4/2021
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/4/2006	11/4/2021
Inactive	Markel American Insurance Company	300377	Agent - Casualty	3/19/2019	11/13/2019
Inactive	Markel American Insurance Company	300377	Agent - Property	3/19/2019	11/13/2019
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/6/2020	11/30/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/6/2020	11/30/2022
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	4/28/2006	1/26/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/19/2010	10/22/2012
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/19/2010	2/26/2013
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	8/17/2009	11/30/2022
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	8/17/2009	11/30/2022
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	9/17/2015	11/30/2022
Inactive	Security Life Insurance Company of America	300936	Agent - Health	1/4/2005	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	1/4/2005	12/31/2016
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/12/2018	11/2/2019
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	2/27/2019	11/30/2022
Inactive	United States Fire Insurance Company	582240	Agent - Property	2/27/2019	11/30/2022

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	8/4/2015	11/30/2022
Inactive	Direct Benefits Inc	943981	Agent - Life	2/7/2017	6/29/2021
Inactive	Direct Benefits Inc	943981	Agent - Health	2/7/2017	6/29/2021
Inactive	Direct Benefits Inc	943981	Agent - Property	4/20/2020	6/29/2021
Inactive	Direct Benefits Inc	943981	Agent - Casualty	4/20/2020	6/29/2021
Inactive	Planchoice Inc.	400482	Agent - Life	7/15/2016	11/30/2022
Inactive	Planchoice Inc.	400482	Agent - Health	7/15/2016	11/30/2022