DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tilson, Keith Darnell	DOIID	1230356	NAIC NPN	20438590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/16/2022		8/31/2025
* 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	06/15/2025	08/31/2025

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	6/7/2023	2/1/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/18/2022	4/11/2023
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/5/2023	2/1/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/9/2023	2/1/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/20/2023	2/1/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/1/2023	2/1/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/5/2023	2/1/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/29/2023	2/1/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/20/2023	2/1/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/18/2022	4/11/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/18/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/18/2022	4/11/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2022	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/8/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/25/2023	2/1/2024