DEPARTMENT OF INSURANCE

Affiliations

Name	Dicicco II, Thomas A	DOIID	833147	NAIC NPN	16567488

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/15/2016	1/31/2024
Inactive	Non Resident	Agent	Life	7/15/2016	1/31/2024
* 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	AXIS Insurance Company	301290	Agent - Health	7/11/2018	7/19/2023
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	5/16/2018	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	3/22/2021	6/1/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	3/22/2021	6/1/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	1/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021	1/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021	1/31/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	9/11/2019	12/1/2020
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/15/2015	1/31/2016
Inactive	Everest Reinsurance Company	301836	Agent - Health	11/21/2016	4/2/2021
Inactive	Federal Insurance Company	301144	Agent - Health	6/26/2017	10/28/2021
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/22/2014	5/18/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/22/2014	5/18/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/30/2019	2/2/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/30/2019	2/2/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/23/2017	12/7/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/23/2017	12/7/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/29/2014	1/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/29/2017	1/3/2019
Inactive	Humana Insurance Company	301104	Agent - Life	11/29/2017	1/3/2019
Inactive	LifeShield National Insurance Company	737111	Agent - Health	10/15/2018	12/20/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/20/2016	1/19/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/20/2016	1/19/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	12/7/2022
Inactive	National Health Insurance Company	300554	Agent - Health	4/20/2015	1/31/2016
Inactive	National Health Insurance Company	300554	Agent - Life	4/20/2015	1/31/2016
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/25/2016	1/3/2018
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2020	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/8/2022	1/31/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/8/2022	1/31/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	8/15/2022