DEPARTMENT OF INSURANCE

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.

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	07/12/2024	07/12/2024	Yes

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