DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Ann	DOIID	772495	NAIC NPN	5447845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/11/2012		8/31/2026
Active	Non Resident	Agent	Health	1/11/2012		8/31/2026
* 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	Coventry Health and Life Insurance Company	301771	Agent - Health	10/19/2018	6/15/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/20/2012	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	4/20/2012	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/20/2012	7/10/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/20/2012	7/10/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	6/15/2022
Denied	Mercer Health & Benefits LLC	607080	Agent - Life