DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson-Pemberton, Courtney Patrick	DOIID	978179	NAIC NPN	17841099

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/1/2017	2/29/2028
Active	Non Resident	Agent	Health	12/1/2017	2/29/2028
* 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	12/15/2025	02/28/2026	01/20/2026	01/20/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/19/2025
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/15/2020	2/12/2026
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/4/2020	12/19/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	2/12/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/15/2020	2/12/2026
Inactive	American Continental Insurance Company	643130	Agent - Life	5/4/2020	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/5/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/30/2021	2/6/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/30/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/30/2021	2/6/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/26/2024	2/12/2026
Inactive	CMFG Life Insurance Company	300929	Agent - Health	3/19/2020	7/15/2020
Inactive	CMFG Life Insurance Company	300929	Agent - Life	3/19/2020	7/15/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/31/2022	2/10/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/30/2021	2/6/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/4/2020	2/7/2026
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/18/2022	12/12/2024
Inactive	Emphesys Insurance Company	300598	Agent - Health	2/2/2026	2/12/2026
Active	Gerber Life Insurance Company	300529	Agent - Health	9/7/2018
Active	Gerber Life Insurance Company	300529	Agent - Life	9/7/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/14/2020	2/12/2026
Inactive	Humana Insurance Company	301104	Agent - Health	7/2/2021	2/12/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/13/2024	2/12/2026
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/24/2025	2/12/2026
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/1/2017
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/1/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/8/2019	6/3/2020
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/1/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/15/2020	2/12/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2022	2/10/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/31/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/31/2022	2/10/2026
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/21/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	4/17/2018	3/13/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	4/17/2018	3/13/2022