DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Jayden	DOIID	828189	NAIC NPN	17116540

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/20/2018	1/31/2023
Inactive	Non Resident	Agent	Health	11/20/2018	1/31/2023
* 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	American General Life Insurance Company	301585	Agent - Health	12/2/2013	2/19/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	12/2/2013	2/19/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/18/2021	11/15/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/18/2021	11/15/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/1/2019	3/2/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/1/2019	3/2/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/18/2014	2/4/2016
Inactive	New York Life Insurance Company	300431	Agent - Health	12/11/2018	1/4/2023
Inactive	New York Life Insurance Company	300431	Agent - Life	12/11/2018	1/4/2023
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/1/2015	2/4/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/1/2015	2/4/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/11/2018	1/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/11/2018	1/31/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/11/2018	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/11/2018	10/1/2020
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/2/2013	2/19/2016
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/2/2013	2/19/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/5/2021	1/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/5/2021	1/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/5/2021	1/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/5/2021	1/31/2023

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 Administration LLC	656414	Agent - Health	1/27/2014	2/4/2016
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/27/2014	2/4/2016