DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Thomas C	DOIID	673605	NAIC NPN	8701677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/7/2008		8/31/2026
Active	Non Resident	Agent	Health	2/7/2008		8/31/2026
* 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	07/17/2024	07/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HCC Life Insurance Company	301827	Agent - Health	10/15/2018
Active	HCC Life Insurance Company	301827	Agent - Life	10/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/18/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	8/18/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/18/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/18/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/18/2015	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/21/2017	10/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/21/2017	10/31/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/21/2017	10/31/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/21/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	7/13/2017	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	7/13/2017	10/9/2019
Active	Usi Insurance Services LLC	669260	Agent - Life	12/27/2018
Active	Usi Insurance Services LLC	669260	Agent - Health	12/27/2018