DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Shaun Michael	DOIID	647524	NAIC NPN	8952126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/18/2016	8/31/2024
Inactive	Non Resident	Agent	Health	11/18/2016	8/31/2024
* 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	AXIS Insurance Company	301290	Agent - Health	6/6/2018	7/18/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/19/2018	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	2/14/2007	7/2/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	2/14/2007	7/2/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/22/2013	9/3/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/8/2009	8/31/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/8/2009	8/31/2010
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/10/2013	8/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/22/2013	9/3/2013
Inactive	Everest Reinsurance Company	301836	Agent - Health	1/9/2017	10/16/2017
Inactive	Federal Insurance Company	301144	Agent - Health	5/25/2017	11/17/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/25/2013	12/3/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/25/2013	12/3/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/11/2021	12/20/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/4/2017	12/6/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/22/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/22/2013	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/22/2013	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/5/2007	8/31/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/5/2007	8/31/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/22/2013	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/22/2013	9/3/2013
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/5/2013	8/31/2014
Inactive	Lumico Life Insurance Company	300354	Agent - Health	2/13/2018	2/28/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/13/2018	2/28/2018
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/14/2018	5/4/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	7/18/2013	8/31/2014
Inactive	Time Insurance Company	300683	Agent - Health	1/25/2013	12/19/2013
Inactive	Time Insurance Company	300683	Agent - Life	1/25/2013	12/19/2013
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/24/2020	8/31/2024
Inactive	Washington National Insurance Company	300587	Agent - Life	7/14/2020	12/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HBDC II, Inc	641352	Agent - Health	2/16/2007	8/31/2010
Inactive	HBDC II, Inc	641352	Agent - Life	2/16/2007	8/31/2010
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	4/18/2022