DEPARTMENT OF INSURANCE

Affiliations

Name	Hiatt, Thomas	DOIID	932187	NAIC NPN	17920742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/7/2016	10/31/2022
Inactive	Non Resident	Agent	Life	10/7/2016	10/31/2022
* 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	10/15/2016	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/15/2016	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/15/2016	7/8/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/25/2016	12/11/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/11/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	12/11/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/19/2016	10/31/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	12/11/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2016	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/1/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/1/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/1/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/1/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/1/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/1/2016	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	1/16/2018	10/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/31/2016	10/30/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/31/2016	10/30/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	10/30/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/31/2016	10/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/25/2016	12/15/2021
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019	10/31/2022
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019	7/8/2021