DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thoms, Jeffrey S	DOIID	653418	NAIC NPN	9153123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/12/2007	5/31/2013
Inactive	Non Resident	Agent	Health	4/12/2007	5/31/2013
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	5/21/2007	5/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/21/2007	5/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/21/2007	5/31/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/12/2007	12/14/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/12/2007	12/14/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/3/2007	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	5/3/2007	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	5/3/2007	8/31/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/5/2008	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/5/2008	12/18/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/9/2007	12/22/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/9/2007	12/22/2008
Inactive	United Concordia Dental Plans of Kentucky Inc.	301923	Agent - Health	5/7/2007	1/7/2013
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	5/7/2007	1/7/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/18/2008	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/18/2008	12/15/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/18/2008	12/15/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/18/2008	12/15/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	5/3/2007	10/18/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	5/3/2007	10/18/2012