DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Life	6/19/2006		3/31/2027
Active	Resident	Agent	Health	6/19/2006		3/31/2027
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	03/18/2025	03/18/2025	Yes

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