DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Valencia Marie	DOIID	802864	NAIC NPN	5781186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/17/2022		8/31/2024
Active	Non Resident	Agent	Life	9/17/2022		8/31/2024
Inactive	Non Resident	Agent	Casualty	2/2/2013	7/19/2018
Inactive	Non Resident	Agent	Property	2/2/2013	7/19/2018
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/10/2014	3/11/2016
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/10/2014	3/11/2016
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/13/2013	7/11/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	2/13/2013	7/11/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/3/2022	12/21/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/3/2022	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	2/13/2013	7/11/2017
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	2/13/2013	7/11/2017
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	12/10/2014	3/11/2016