DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Shaun Samuel	DOIID	911499	NAIC NPN	17541999

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/24/2024		9/30/2025
Active	Non Resident	Agent	Health	1/24/2024		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	1/31/2024
Active	All Savers Insurance Company	301940	Agent - Life	1/31/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/31/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/31/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/31/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Arizona Inc	511502	Agent - Life	8/9/2018	3/6/2020
Inactive	Willis Of Arizona Inc	511502	Agent - Health	8/9/2018	3/6/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Life	2/14/2024
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Health	2/14/2024