DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Chanthol Sim	DOIID	819182	NAIC NPN	1339240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/20/2025	10/31/2026
Active	Non Resident	Agent	Health	8/30/2013	10/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/17/2022	10/29/2024
Active	Aetna Health Insurance Company	301583	Agent - Health	9/12/2014
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/17/2022	10/29/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/17/2022	10/29/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/8/2014
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/15/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/12/2014	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/30/2021	12/12/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/15/2025
Active	Humana Insurance Company	301104	Agent - Health	2/4/2025
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/30/2014	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/6/2020	4/20/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/1/2023	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/17/2022	10/29/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2015
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/31/2015	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/27/2018	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019	12/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	5/30/2014	6/4/2014
Inactive	Gohealth LLC	691445	Agent - Health	6/13/2025	6/13/2025
Pending	Gohealth LLC	691445	Agent - Life
Active	e-Telequote Insurance, Inc.	687772	Agent - Health	6/18/2025
Pending	e-Telequote Insurance, Inc.	687772	Agent - Life