DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Justin	DOIID	783833	NAIC NPN	7318877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/6/2023	10/31/2025
Active	Non Resident	Agent	Health	2/6/2023	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	2/9/2023
Active	All Savers Insurance Company	301940	Agent - Life	2/9/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/2012	10/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/2012	10/31/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2012	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2012	12/19/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/8/2019	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2012	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	10/31/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2012	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/31/2012	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/8/2019	12/19/2019
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2012	10/22/2015
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/14/2018	10/31/2021
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/14/2018	10/31/2021
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	6/13/2012	10/31/2021
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/13/2012	10/31/2021
Inactive	Standard Insurance Company	300185	Agent - Health	8/6/2012	10/31/2021
Inactive	Standard Insurance Company	300185	Agent - Life	8/6/2012	10/31/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/9/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/9/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/9/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/17/2012	10/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/17/2012	10/31/2021
Inactive	McGohan/Brabender Agency Ins.	399029	Agent - Life	8/21/2012	10/31/2021
Inactive	McGohan/Brabender Agency Ins.	399029	Agent - Health	8/21/2012	10/31/2021