DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Shaun Michael	DOIID	647524	NAIC NPN	8952126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/18/2016	8/31/2024
Active	Non Resident	Agent	Health	11/18/2016	8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	6/6/2018	7/18/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/19/2018	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	2/14/2007	7/2/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	2/14/2007	7/2/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/22/2013	9/3/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/8/2009	8/31/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/8/2009	8/31/2010
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/10/2013	8/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/22/2013	9/3/2013
Inactive	Everest Reinsurance Company	301836	Agent - Health	1/9/2017	10/16/2017
Inactive	Federal Insurance Company	301144	Agent - Health	5/25/2017	11/17/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/25/2013	12/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/25/2013	12/3/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/11/2021	12/20/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/4/2017	12/6/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/22/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/22/2013	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/5/2007	8/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/5/2007	8/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/22/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/22/2013	9/3/2013
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/5/2013	8/31/2014
Inactive	Lumico Life Insurance Company	300354	Agent - Health	2/13/2018	2/28/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/13/2018	2/28/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/14/2018	5/4/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/18/2013	8/31/2014
Inactive	Time Insurance Company	300683	Agent - Health	1/25/2013	12/19/2013
Inactive	Time Insurance Company	300683	Agent - Life	1/25/2013	12/19/2013
Active	Unified Life Insurance Company	543169	Agent - Health	11/24/2020
Inactive	Washington National Insurance Company	300587	Agent - Life	7/14/2020	12/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/16/2007	8/31/2010
Inactive	HBDC II, Inc	641352	Agent - Life	2/16/2007	8/31/2010
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	4/18/2022