DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Timothy Evans	DOIID	349228	NAIC NPN	2793117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/20/1989	4/30/2026
Active	Non Resident	Agent	Health	7/20/1989	4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	5/10/2024
Active	All Savers Insurance Company	301940	Agent - Life	5/10/2024
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/1/1999	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/1/1999	12/11/2000
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/5/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/5/2013	4/16/2016
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	12/27/1999	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	12/27/1999	9/8/2000
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	7/22/2009	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/22/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/5/2016	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/22/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/22/2009	2/24/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	12/31/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	12/31/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/20/1989	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/20/1989	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2013	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	4/10/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	4/10/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/5/2002	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/5/2002	11/17/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/20/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/20/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/20/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/6/2011	1/14/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	12/8/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	4/16/2016
Denied	HP Planning LLC	839238	Agent - Life
Denied	HP Planning LLC	839238	Agent - Health
Inactive	Medlink Inc	400721	Agent - Life	9/27/2007	11/17/2008
Inactive	Medlink Inc	400721	Agent - Health	9/27/2007	11/17/2008