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	Life	6/23/2017	5/31/2025
Active	Resident	Agent	Casualty	5/3/2019	5/31/2025
Active	Resident	Agent	Health	6/23/2017	5/31/2025
Active	Resident	Agent	Property	5/3/2019	5/31/2025
* 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

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 Life Insurance Company	301209	Agent - Health	11/3/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	11/3/2017
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