DEPARTMENT OF INSURANCE
Affiliations
NameTomes, Edmon JacobDOIID868077NAIC NPN1682002
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/8/2021 10/31/2026
ActiveNon ResidentAgentHealth4/12/2018 10/31/2026
ActiveNon ResidentAgentLife2/5/2015 10/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities2/5/2015 10/31/2026
ActiveNon ResidentAgentProperty1/8/2021 10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/23/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health8/9/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health6/23/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/9/2021 
ActiveAetna Life Insurance Company301140Agent - Health8/9/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Life12/8/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities12/11/2020 
ActiveAmerican National Insurance Company301861Agent - Life8/17/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/25/2019 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
InactiveAnthem Life Insurance Company301209Agent - Health7/25/20194/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life7/25/20194/15/2025
ActiveBaltimore Life Insurance Company300286Agent - Life12/13/2024 
ActiveBankers Fidelity Assurance Company554627Agent - Health8/3/2018 
ActiveBankers Fidelity Assurance Company554627Agent - Life8/3/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health8/3/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life8/3/2018 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveClear Spring Life and Annuity Company300919Agent - Life3/12/2021 
InactiveCompBenefits Insurance Company301864Agent - Health12/3/202112/12/2024
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/23/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/23/2021 
InactiveContractors Bonding and Insurance Company300184Agent - Casualty10/15/20212/16/2024
InactiveContractors Bonding and Insurance Company300184Agent - Property10/15/20212/16/2024
InactiveDental Concern Inc. (The)301641Agent - Health11/8/202112/13/2022
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
InactiveHumana Insurance Company301104Agent - Health12/3/202112/12/2024
ActiveLife Insurance Company of the Southwest301867Agent - Life12/12/2018 
InactiveLumico Life Insurance Company300354Agent - Health1/5/20222/17/2023
ActiveOhio Security Insurance Company300622Agent - Casualty12/12/2022 
ActiveOhio Security Insurance Company300622Agent - Property12/12/2022 
ActiveOxford Life Insurance Company301079Agent - Life11/22/2023 
ActivePacific Life Insurance Company301848Agent - Health2/14/2019 
ActivePacific Life Insurance Company301848Agent - Life2/14/2019 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities2/14/2019 
InactivePekin Life Insurance Company300951Agent - Health4/19/20211/22/2025
InactivePekin Life Insurance Company300951Agent - Life4/19/20211/22/2025
InactiveRLI Insurance Company301217Agent - Casualty9/15/20212/16/2024
InactiveRLI Insurance Company301217Agent - Property9/15/20212/16/2024
InactiveS.USA Life Insurance Company, Inc.301774Agent - Health4/5/20196/2/2025
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life4/5/20196/2/2025
InactiveSILAC Insurance Company300535Agent - Life4/17/201911/10/2020
ActiveSilverScript Insurance Company663526Agent - Health8/9/2021 
InactiveSouthern Guaranty Insurance Company969411Agent - Health8/9/20195/8/2023
ActiveTier One Insurance Company301056Agent - Health2/20/2023 
ActiveTier One Insurance Company301056Agent - Life2/20/2023 
ActiveUnited Home Life Insurance Company300421Agent - Life5/6/2021 
InactiveUnited States Fire Insurance Company582240Agent - Health8/31/202112/27/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/1/2018 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health7/1/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/1/2018 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/22/201912/30/2021
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/28/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life8/30/20192/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Health8/30/20192/11/2025
ActiveLevel Four Ins Services LLC868071Agent - Life2/5/2015 
ActiveLevel Four Insurance Agency, LLC866175Agent - Casualty1/22/2021 
ActiveLevel Four Insurance Agency, LLC866175Agent - Property1/22/2021 

© Commonwealth of Kentucky. All rights reserved.