DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ingram, Thomas	DOIID	975174	NAIC NPN	18580868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/6/2017	4/30/2021
Inactive	Non Resident	Agent	Life	11/6/2017	4/30/2021
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/10/2017	4/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/10/2017	4/30/2021
Inactive	Continental American Insurance Company	301700	Agent - Health	3/7/2019	5/3/2021
Inactive	Continental American Insurance Company	301700	Agent - Life	3/7/2019	5/3/2021
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/17/2018	12/22/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/3/2020	4/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/3/2020	4/30/2021

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	11/14/2017	5/10/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/14/2017	5/10/2021
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/28/2019	4/30/2021
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/28/2019	4/30/2021