DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

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
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/5/2022	12/12/2024
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	TZ Insurance Solutions LLC	727470	Agent - Health	2/11/2025
Pending	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	Trubridge Inc	717747	Agent - Health	3/11/2024	2/11/2025
Denied	Trubridge Inc	717747	Agent - Life