DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Timothy P	DOIID	345506	NAIC NPN	1892740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		1/31/2026
Active	Resident	Agent	Life	1/25/2011		1/31/2026
Active	Resident	Agent	Property	8/15/2000		1/31/2026
Active	Resident	Agent	Health	1/25/2011		1/31/2026
Inactive	Resident	Agent	General Lines	6/23/1993	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	12/19/1997	6/11/1999
* 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
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/23/1993	3/31/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/15/2000	11/6/2006
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	2/2/1999	8/15/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/15/2000	11/6/2006
Inactive	American States Insurance Company	301230	Agent - General Lines	6/23/1993	3/31/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	12/19/1997	6/11/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/1997	6/9/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/1997	6/9/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/19/1991	3/31/1997
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/19/1991	3/31/1997
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	11/6/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	2/2/1999	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	11/6/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	11/6/2006
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	2/2/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	11/6/2006
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/15/2008
Active	State Farm Fire and Casualty Company	301809	Agent - Property	2/15/2008
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	2/15/2008	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	2/15/2008	11/18/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	3/18/2011
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/15/2008
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	3/18/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	8/15/2000	11/6/2006
Inactive	West American Insurance Company	301112	Agent - General Lines	2/2/1999	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	8/15/2000	11/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997