DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Otis L	DOIID	1286435	NAIC NPN	20473641

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/19/2023		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/12/2024	12/12/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/19/2023	12/16/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	5/28/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/8/2024	12/12/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2023	12/16/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2023	12/16/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/10/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/3/2023	12/20/2024