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.

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