DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Potts, Thomas	DOIID	756730	NAIC NPN	14225916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/6/2019		4/30/2025
Active	Non Resident	Agent	Life	8/6/2019		4/30/2025
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/1/2011	4/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/1/2011	4/30/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/15/2019	12/13/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/1/2011	4/30/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2019	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/1/2011	4/30/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2019	12/13/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/1/2011	4/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	3/11/2024
Denied	Trubridge Inc	717747	Agent - Life