DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Mikenzie A	DOIID	1361485	NAIC NPN	21064405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/13/2024		10/31/2025
Active	Non Resident	Agent	Health	9/13/2024		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/22/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/24/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/23/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/26/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alight Health Market Insurance Solutions Inc	643602	Agent - Life
Active	Alight Health Market Insurance Solutions Inc	643602	Agent - Health	10/10/2024