DEPARTMENT OF INSURANCE

Affiliations

Name	Thom-October, Colette Tiny	DOIID	627116	NAIC NPN	8667918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/2/2006	5/31/2026
Active	Non Resident	Agent	Life	12/12/2006	5/31/2026
Active	Non Resident	Agent	Personal Lines	10/7/2016	5/31/2026
* 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	American Modern Property and Casualty Insurance Company	301954	Agent - Personal Lines	10/21/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Personal Lines	1/4/2018	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Personal Lines	4/10/2017	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Personal Lines	9/1/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/2/2013	8/17/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/5/2010	7/13/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/5/2010	7/13/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/2/2013	8/17/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	1/6/2017
Active	Homesite Insurance Company	301139	Agent - Personal Lines	11/28/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Personal Lines	7/14/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/11/2016	4/10/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/2/2013	8/17/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/2/2013	8/17/2016
Inactive	Humana Insurance Company	301104	Agent - Health	7/2/2013	8/17/2016
Inactive	Humana Insurance Company	301104	Agent - Life	7/2/2013	8/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/2/2013	8/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/2/2013	8/17/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	8/17/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/22/2006	7/13/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/22/2006	7/13/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/2/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/2/2013	10/22/2015
Active	Nationwide General Insurance Company	300603	Agent - Personal Lines	12/18/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Personal Lines	11/18/2019	8/25/2023
Active	Progressive Direct Insurance Company	301379	Agent - Personal Lines	10/13/2016
Inactive	QBE Insurance Corporation	300515	Agent - Personal Lines	11/30/2016	11/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	7/13/2012
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2009	7/13/2012