DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Timothy A	DOIID	310498	NAIC NPN	5501103

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	6/23/2017	5/31/2025
Active	Resident	Agent	Casualty	5/3/2019	5/31/2025
Active	Resident	Agent	Property	5/3/2019	5/31/2025
Active	Resident	Agent	Life	6/23/2017	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/8/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	5/24/2023
Inactive	American Continental Insurance Company	643130	Agent - Health	6/10/2013	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	12/8/2017	8/11/2021
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/24/2013	12/18/2014
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/24/2013	12/18/2014
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/9/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/3/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/3/2017	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/25/2019	12/19/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	5/31/2019	9/27/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	5/31/2019	9/27/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	3/18/2019	9/27/2022
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	3/18/2019	9/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/21/2018	12/22/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/21/2018	12/22/2020
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/22/2003	3/5/2008
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/11/2009	9/18/2009
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/11/2009	9/18/2009
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/3/2013	3/3/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/7/2009	12/12/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/7/2009	12/12/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Health	8/5/2009	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	8/5/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	8/5/2009	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	8/5/2009	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/8/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/11/2008	10/8/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/3/2013	3/3/2015
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/21/2009	6/1/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/28/2008	10/8/2009
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/6/2009	12/8/2009
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/6/2009	12/8/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/25/2019	12/19/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/25/2019	12/19/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/24/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	4/25/2019	4/6/2021
Inactive	Humana Insurance Company	301104	Agent - Life	4/25/2019	4/6/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2013	3/3/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2013	3/3/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/25/2019	12/19/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/25/2019	12/19/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/7/2009	12/12/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/7/2009	12/12/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/28/2013	3/6/2017
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/1/2013	2/27/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/3/2013	3/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/3/2013	3/3/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/22/2008	5/18/2009
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/22/2008	5/18/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	3/3/2008	5/18/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/3/2008	5/18/2009
Inactive	Medico Insurance Company	301559	Agent - Health	6/17/2013	12/19/2014
Inactive	Medico Insurance Company	301559	Agent - Life	6/17/2013	12/19/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/23/2007	12/15/2009
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	6/29/2004	10/17/2004
Inactive	New York Life Insurance Company	300431	Agent - Health	6/29/2004	10/17/2004
Inactive	New York Life Insurance Company	300431	Agent - Life	6/29/2004	10/17/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	6/29/2004	10/17/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	6/29/2004	10/17/2004
Inactive	Omaha Health Insurance Company	301296	Agent - Health	1/11/2019	3/31/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	1/22/2018	8/8/2018
Inactive	Owners Insurance Company	300796	Agent - Casualty	5/31/2019	9/27/2022
Inactive	Owners Insurance Company	300796	Agent - Property	5/31/2019	9/27/2022
Inactive	Pekin Life Insurance Company	300951	Agent - Health	4/12/2019	11/18/2020
Inactive	Pekin Life Insurance Company	300951	Agent - Life	4/12/2019	11/18/2020
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	3/28/2005	5/7/2007
Active	Primerica Life Insurance Company	300970	Agent - Health	2/16/2024
Active	Primerica Life Insurance Company	300970	Agent - Life	2/16/2024
Inactive	Reserve National Insurance Company	301073	Agent - Health	5/17/2013	8/28/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/17/2013	8/28/2014
Active	SilverScript Insurance Company	663526	Agent - Health	5/24/2023
Inactive	Sterling Life Insurance Company	301947	Agent - Health	5/1/2009	8/20/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Life	5/1/2009	8/20/2009
Inactive	United American Insurance Company	300910	Agent - Health	5/11/2009	10/7/2009
Inactive	United American Insurance Company	300910	Agent - Life	5/11/2009	10/7/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	5/15/2008	5/20/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	5/15/2008	5/20/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	4/23/2018	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/23/2007	12/15/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/23/2007	12/15/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/30/2017	1/23/2020
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/30/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/23/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/23/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/13/2013	8/26/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/30/2017	1/23/2020
Inactive	Washington National Insurance Company	300587	Agent - Health	2/27/2015	11/14/2016
Inactive	Washington National Insurance Company	300587	Agent - Life	2/27/2015	11/14/2016
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	12/14/2015	4/12/2016
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	12/14/2015	4/12/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	12/14/2015	4/12/2016
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	12/14/2015	4/12/2016
Inactive	Wilco Life Insurance Company	300122	Agent - Life	4/23/2002	3/19/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Health	3/18/2019	12/9/2022
Inactive	CMI P&C, Inc.	600128	Agent - Life	3/18/2019	12/9/2022
Inactive	Capitol Marketing Ins Inc	400068	Agent - Health	7/5/2005	12/16/2010
Inactive	Capitol Marketing Ins Inc	400068	Agent - Life	7/5/2005	3/4/2011
Active	Designated Agent Company Inc.	681257	Agent - Health	11/3/2017
Active	Designated Agent Company Inc.	681257	Agent - Life	11/3/2017
Active	Planchoice Inc.	400482	Agent - Health	1/14/2019
Active	Planchoice Inc.	400482	Agent - Life	1/14/2019