DEPARTMENT OF INSURANCE

Affiliations

Name	Waters, Thomas Daniel	DOIID	660820	NAIC NPN	9520144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	11/25/2009	9/30/2025
Active	Resident	Agent	Health	11/25/2009	9/30/2025
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	2/29/2024
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/12/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/6/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/12/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/12/2020
Inactive	American Continental Insurance Company	643130	Agent - Health	5/7/2012	6/6/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	5/7/2012	8/11/2021
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	8/6/2007	12/1/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	8/6/2007	12/1/2008
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	2/13/2009	9/30/2009
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	10/25/2013	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	10/25/2013	12/21/2018
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/4/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/2/2019	1/1/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/7/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/7/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/7/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	8/20/2010
Active	Anthem Life Insurance Company	301209	Agent - Life	8/20/2010
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/29/2020
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/11/2012	2/5/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/23/2015	9/5/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/10/2017	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/10/2017	12/27/2022
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	2/22/2012	8/13/2018
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	7/18/2019
Inactive	Combined Insurance Company of America	301472	Agent - Health	8/1/2013	1/11/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	6/1/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/7/2023
Inactive	Conseco Health Insurance Company	301725	Agent - Health	10/1/2010	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/1/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	10/1/2010	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	10/1/2010	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/15/2012
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/3/2021
Active	EquiTrust Life Insurance Company	502870	Agent - Life	7/3/2019
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	2/14/2019	9/7/2020
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/18/2011	12/22/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/18/2011	12/22/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/8/2014	12/28/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/8/2014	12/28/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	11/6/2012
Active	Golden Rule Insurance Company	301943	Agent - Life	11/6/2012
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2020	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/29/2020	12/13/2022
Active	Humana Insurance Company	301104	Agent - Health	9/29/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2020	12/13/2022
Active	Independent Order of Foresters	300743	Agent - Health	3/8/2018
Active	Independent Order of Foresters	300743	Agent - Life	3/7/2018
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	12/17/2022	12/22/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/2/2009	8/6/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/2/2009	8/6/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	10/16/2011	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	10/16/2011	9/13/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/28/2019	11/23/2020
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	10/16/2011	12/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	10/16/2011	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	3/14/2011	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	3/14/2011	9/13/2012
Active	North American Company for Life and Health Insurance	300291	Agent - Life	1/4/2024
Inactive	Oxford Life Insurance Company	301079	Agent - Health	8/2/2010	9/1/2017
Active	Oxford Life Insurance Company	301079	Agent - Life	6/18/2019
Active	Penn Insurance and Annuity Company	300712	Agent - Life	2/21/2020
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	2/21/2020
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	11/27/2009	7/15/2010
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	11/27/2009	7/15/2010
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/18/2019	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/18/2019	11/23/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/23/2013	12/22/2016
Inactive	SILAC Insurance Company	300535	Agent - Health	8/5/2013	11/11/2020
Inactive	SILAC Insurance Company	300535	Agent - Life	8/5/2013	11/11/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/12/2020
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	4/23/2014	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	4/23/2014	10/1/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/3/2013	4/26/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/3/2013	4/26/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/24/2013	1/29/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/24/2013	1/29/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2015	5/24/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2015	5/24/2017
Active	United Home Life Insurance Company	300421	Agent - Life	3/3/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/29/2022
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/29/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	3/25/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	3/25/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Active	Vision Service Plan Insurance Company	300526	Agent - Health	11/17/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	3/19/2020	9/23/2022
Inactive	Washington National Insurance Company	300587	Agent - Life	3/19/2020	9/23/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/29/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/28/2020
Active	William Penn Association	300101	Agent - Life	7/21/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Health	8/20/2010
Active	Designated Agent Company Inc.	681257	Agent - Life	8/20/2010
Active	Planchoice Inc.	400482	Agent - Health	4/17/2014