DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Dwaine Audrey	DOIID	845120	NAIC NPN	17312247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/11/2014	8/31/2016
Inactive	Non Resident	Agent	Life	7/11/2014	8/31/2016
* 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	9/12/2014	6/24/2016
Inactive	Aetna Health Insurance Company	301583	Agent - Health	9/12/2014	8/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/12/2014	6/24/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/12/2014	6/24/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/6/2014	8/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/6/2014	8/31/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/18/2015	4/21/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/18/2015	4/21/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/1/2014	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/1/2014	3/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2014	6/24/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/8/2014	5/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/8/2014	5/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/6/2014	3/23/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/1/2014	3/23/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/6/2014	8/17/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/6/2014	8/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/1/2014	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/1/2014	3/23/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/1/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/1/2014	11/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	8/6/2014	8/31/2016
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	8/6/2014	8/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/6/2014	8/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/6/2014	8/31/2016