DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Timothy David	DOIID	345457	NAIC NPN	5500356

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	1/4/2011		12/31/2025
Active	Resident	Agent	Health	1/4/2011		12/31/2025
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Property	8/29/2002	8/7/2008
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	6/11/2002	4/18/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/11/2002	4/18/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/11/2002	4/18/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/9/1996	3/28/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/9/1996	3/28/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/19/1996	7/20/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/19/1996	7/20/2006
Inactive	American National Insurance Company	301861	Agent - Health	12/2/2013	6/3/2021
Active	American National Insurance Company	301861	Agent - Life	12/2/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/14/1998	2/26/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/14/1998	2/26/2003
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	10/14/1997	10/10/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/14/1997	10/10/2006
Active	Athene Annuity and Life Company	301893	Agent - Life	12/16/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	12/7/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	12/7/2007
Denied	Cincinnati Insurance Company	301298	Agent - Casualty
Inactive	Cincinnati Insurance Company	301298	Agent - Property	8/29/2002	5/6/2003
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/20/1996	1/8/2001
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/20/1996	1/8/2001
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/3/2006	3/26/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/3/2006	3/26/2007
Inactive	Columbian Life Insurance Company	300810	Agent - Life	3/4/2022	11/7/2022
Inactive	Continental Casualty Company	301019	Agent - Health	5/28/1998	10/29/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	10/27/2000	11/6/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	10/27/2000	11/6/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Life	1/1/2020	12/21/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	1/31/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/9/2022
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/25/1996	7/17/2001
Active	Forethought Life Insurance Company	301407	Agent - Health	7/1/2020
Active	Forethought Life Insurance Company	301407	Agent - Life	7/1/2020
Active	Gerber Life Insurance Company	300529	Agent - Health	5/31/2017
Active	Gerber Life Insurance Company	300529	Agent - Life	5/31/2017
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	7/29/1998	4/17/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	7/29/1998	4/17/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/2/2000	12/7/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/2/2000	12/7/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/2/2003	3/29/2007
Inactive	Humana Insurance Company	301104	Agent - Health	4/2/2003	3/29/2007
Inactive	Humana Insurance Company	301104	Agent - Life	4/2/2003	3/29/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/18/1997	12/18/2001
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/1/2017	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/1/2017	12/29/2020
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	6/29/2001	11/20/2007
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	3/19/2007	3/24/2008
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	3/19/2007	3/24/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/19/2015	8/25/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/19/2015	8/25/2016
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/10/2020	11/1/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/8/2020	2/6/2025
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/6/2000	11/27/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/6/2000	11/27/2007
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/19/1999	3/31/2001
Inactive	Modern Woodmen of America	301213	Agent - Life	3/6/1992	6/13/1996
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/9/2024	1/22/2025
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/20/2021	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/20/2021	12/12/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	4/27/2016	3/22/2017
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/30/1999	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/30/1999	8/24/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/2/1996	4/3/2007
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/2/1996	4/3/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/1/2007	11/26/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	11/26/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/30/1999	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/30/1999	8/24/2000
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/1/2019	11/25/2020
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	1/28/1997	5/23/2007
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	1/28/1997	5/23/2007
Inactive	Time Insurance Company	300683	Agent - Health	9/14/1998	12/27/2006
Inactive	Time Insurance Company	300683	Agent - Life	9/14/1998	12/27/2006
Active	Transamerica Life Insurance Company	300571	Agent - Health	1/20/2011
Active	Transamerica Life Insurance Company	300571	Agent - Life	1/20/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/4/2011	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/4/2011	10/1/2020
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/11/2000	7/8/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/11/2000	7/8/2005
Inactive	United World Life Insurance Company	300532	Agent - Health	4/19/2019	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2023	8/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2023	8/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/1999	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/26/1999	11/21/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/25/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/25/1996	3/31/1997
Inactive		300277	Agent - Health	10/2/1996	1/1/2007
Inactive		300277	Agent - Life	10/2/1996	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	5/10/2016
Inactive	Kentucky Association of Counties Ins Agency Inc.	398642	Agent - Life	12/12/2001	2/28/2007
Inactive	Kentucky Association of Counties Ins Agency Inc.	398642	Agent - Health	12/12/2001	2/28/2007
Inactive	Peel & Holland Inc	398400	Agent - Life	7/8/1996	11/6/1996
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Life	7/9/1997	9/18/2006
Inactive	Peel & Holland Security Planning Inc.	398597	Agent - Health	7/9/1997	9/18/2006
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	2/24/2003
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	2/24/2003