PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePoulin, Thomas MichelDOIID991810NAIC NPN16565921
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/5/20244/30/2025 
InactiveNon ResidentAgentLife1/5/20244/30/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health1/11/20244/30/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health1/11/20244/30/2025
InactiveAetna Life Insurance Company301140Agent - Health1/11/20244/30/2025
InactiveAetna Life Insurance Company301140Agent - Life7/23/20184/30/2021
InactiveAnthem Life Insurance Company301209Agent - Health5/25/20184/30/2021
InactiveAnthem Life Insurance Company301209Agent - Life5/25/20184/30/2021
InactiveCMFG Life Insurance Company300929Agent - Life10/29/20243/22/2025
InactiveMEMBERS Life Insurance Company301289Agent - Life1/3/20253/22/2025
InactivePruco Life Insurance Company300954Agent - Life10/16/20244/30/2025
InactiveSilverScript Insurance Company663526Agent - Health1/11/20244/30/2025
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health5/2/20204/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health5/2/20204/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveConnected Benefits LLC922924Agent - Health5/25/20184/30/2021
InactiveConnected Benefits LLC922924Agent - Life5/25/20184/30/2021
InactiveDesignated Agent Company Inc.681257Agent - Health5/25/20184/30/2021
InactiveDesignated Agent Company Inc.681257Agent - Life5/25/20184/30/2021

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