DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Sean M	DOIID	623266	NAIC NPN	5960575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/19/2006		3/31/2025
Active	Resident	Agent	Life	6/19/2006		3/31/2025
Inactive	Resident	Life & Health Consultant	Not Applicable	4/29/2016	3/31/2017
* 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
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/11/2008
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/11/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/10/2007	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/10/2007	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/10/2007	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/10/2007	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Health	5/24/2007
Active	Mercer Health & Benefits LLC	607080	Agent - Life	5/24/2007