DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Michael	DOIID	815418	NAIC NPN	8624907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/24/2013	6/30/2015
Inactive	Non Resident	Agent	Life	7/24/2013	6/30/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/14/2013	6/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/14/2013	6/30/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	12/18/2014	6/30/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	12/18/2014	6/30/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/24/2013	6/30/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/24/2013	6/30/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2014	12/5/2014
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/26/2013	12/31/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/26/2013	12/31/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/14/2013	6/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/7/2014	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/4/2013	5/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/4/2013	5/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/7/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	1/7/2014	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/7/2014	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/7/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/7/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/7/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/7/2014	12/5/2014
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	10/21/2013	6/30/2015
Inactive	Time Insurance Company	300683	Agent - Health	7/29/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/29/2013	12/20/2014

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	10/24/2013	6/30/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/24/2013	6/30/2015