DEPARTMENT OF INSURANCE
Affiliations
NameDavis, Timothy RayDOIID367724NAIC NPN7199191
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable12/10/20209/30/2022 
ActiveResidentAgentHealth12/8/2022 9/30/2024
ActiveResidentAgentCasualty12/8/2022 9/30/2024
ActiveResidentAgentProperty12/8/2022 9/30/2024
ActiveResidentAgentLife12/8/2022 9/30/2024
InactiveResidentAgentVariable Life and Variable Annuities5/31/20019/30/2020 
InactiveResidentAgentHealth Maintenance Organization8/11/19983/1/2001 
InactiveResidentAgentGeneral Lines10/1/19968/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty8/15/20003/26/2008
InactiveAIG Assurance Company300897Agent - General Lines5/15/19978/15/2000
InactiveAIG Assurance Company300897Agent - Property8/15/20003/26/2008
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/7/20008/2/2004
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/7/20008/2/2004
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines9/23/19988/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Casualty8/15/20001/28/2012
InactiveAmerican Economy Insurance Company300315Agent - General Lines9/2/19988/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property8/15/20001/28/2012
InactiveAmerican Fire and Casualty Company300567Agent - Casualty12/7/20111/28/2012
InactiveAmerican Fire and Casualty Company300567Agent - Property12/7/20111/28/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/24/20079/30/2020
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/24/20079/30/2020
InactiveAmerican National Insurance Company301861Agent - Health10/2/20009/30/2020
InactiveAmerican National Insurance Company301861Agent - Life10/2/20009/30/2020
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/20001/28/2012
InactiveAmerican States Insurance Company301230Agent - General Lines9/2/19988/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/20001/28/2012
InactiveAssurance Company of America300432Agent - Casualty8/15/200012/16/2014
InactiveAssurance Company of America300432Agent - General Lines11/11/19968/15/2000
InactiveAssurance Company of America300432Agent - Property8/15/200012/16/2014
InactiveBaltasVision, LLC598376Agent - Health12/13/20043/31/2017
InactiveBanner Life Insurance Company301696Agent - Life3/18/202210/1/2022
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/22/19967/17/2013
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/22/19967/17/2013
InactiveCanada Life Assurance Company301192Agent - Health5/22/20007/26/2004
InactiveCanada Life Assurance Company301192Agent - Life5/15/20007/26/2004
InactiveConsolidated Insurance Company300943Agent - Casualty8/15/20001/28/2012
InactiveConsolidated Insurance Company300943Agent - General Lines11/10/19988/15/2000
InactiveConsolidated Insurance Company300943Agent - Property8/15/20001/28/2012
InactiveContinental Casualty Company301019Agent - Health12/12/199611/29/2004
InactiveCountryway Insurance Company300809Agent - Casualty8/15/20009/30/2020
InactiveCountryway Insurance Company300809Agent - General Lines10/1/19968/15/2000
InactiveCountryway Insurance Company300809Agent - Property8/15/20009/30/2020
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/14/2014
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/15/200012/12/2003
InactiveFarmers Property and Casualty Insurance Company301237Agent - General Lines11/8/19968/15/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/15/200012/12/2003
InactiveFidelity Security Life Insurance Company300466Agent - Health7/18/20169/30/2020
InactiveFidelity Security Life Insurance Company300466Agent - Life7/18/20169/30/2020
InactiveFirst Colony Life Insurance Company301179Agent - Health1/9/20011/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life1/9/20011/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty8/15/20001/28/2012
InactiveFirst National Insurance Company of America301690Agent - General Lines11/1/19988/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property8/15/20001/28/2012
InactiveGeneral Insurance Company of America300261Agent - Casualty8/15/20001/28/2012
InactiveGeneral Insurance Company of America300261Agent - General Lines11/1/19988/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property8/15/20001/28/2012
InactiveGenworth Life Insurance Company300623Agent - Health7/13/200712/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life7/13/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
InactiveGlatfelter Insurance Company301640Agent - Casualty8/15/200011/30/2007
InactiveGlatfelter Insurance Company301640Agent - General Lines11/11/19968/15/2000
InactiveGlatfelter Insurance Company301640Agent - Property8/15/200011/30/2007
InactiveGuarantee Life Insurance Company301560Agent - Health3/5/19969/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life3/5/19969/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health12/4/19993/29/2001
InactiveGuardian Life Insurance Company of America301316Agent - Life12/4/19993/29/2001
InactiveGuideOne Specialty Insurance Company300278Agent - General Lines5/11/19988/15/2000
InactiveHartford Casualty Insurance Company301332Agent - General Lines9/9/199812/22/1999
InactiveHartford Fire Insurance Company300628Agent - General Lines9/9/199812/22/1999
InactiveHartford Insurance Company of the Midwest301918Agent - General Lines9/9/199812/22/1999
InactiveHartford Underwriters Insurance Company301064Agent - General Lines9/9/199812/22/1999
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20017/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/11/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health8/11/19987/14/2014
InactiveHumana Insurance Company301104Agent - Life8/11/19987/14/2014
InactiveIllinois National Insurance Company301367Agent - Casualty8/15/20003/31/2002
InactiveIllinois National Insurance Company301367Agent - General Lines5/15/19978/15/2000
InactiveIllinois National Insurance Company301367Agent - Property8/15/20003/31/2002
InactiveImperium Insurance Company300804Agent - Health8/11/200411/8/2012
InactiveIndiana Insurance Company301909Agent - Casualty8/15/20001/28/2012
InactiveIndiana Insurance Company301909Agent - General Lines11/10/19988/15/2000
InactiveIndiana Insurance Company301909Agent - Property8/15/20001/28/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health4/17/19986/18/1999
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life4/17/19986/18/1999
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/22/200212/23/2002
InactiveKanawha Insurance Company300127Agent - Health4/11/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/25/2013
InactiveLafayette Life Insurance Company (The)301039Agent - Health6/11/19988/3/2009
InactiveLafayette Life Insurance Company (The)301039Agent - Life6/11/19988/3/2009
InactiveLife Investors Insurance Company of America301793Agent - Health9/17/199312/21/1998
InactiveLife Investors Insurance Company of America301793Agent - Life9/17/199312/21/1998
InactiveLincoln Benefit Life Company301110Agent - Life3/14/19967/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/26/201211/17/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/26/201211/17/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/31/20018/2/2012
InactiveManufacturers Life Insurance Company of North America301899Agent - Life10/23/20001/22/2002
InactiveMaryland Casualty Company301719Agent - Casualty8/15/20003/10/2015
InactiveMaryland Casualty Company301719Agent - General Lines11/11/19968/15/2000
InactiveMaryland Casualty Company301719Agent - Property8/15/20003/10/2015
InactiveMedAmerica Insurance Company301568Agent - Health8/10/20066/23/2010
InactiveMeridian Mutual Insurance Company301303Agent - Casualty8/15/20006/1/2001
InactiveMeridian Mutual Insurance Company301303Agent - General Lines3/18/19998/15/2000
InactiveMeridian Mutual Insurance Company301303Agent - Property8/15/20006/1/2001
InactiveMetropolitan General Insurance Company300709Agent - Casualty8/15/200012/12/2003
InactiveMetropolitan General Insurance Company300709Agent - General Lines11/8/19968/15/2000
InactiveMetropolitan General Insurance Company300709Agent - Property8/15/200012/12/2003
InactiveMutual of Omaha Insurance Company301012Agent - Health7/16/200712/26/2012
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines9/23/19988/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Casualty8/15/20001/28/2012
InactiveNetherlands Insurance Company (The)300339Agent - General Lines11/10/19988/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Property8/15/20001/28/2012
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/15/200012/16/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines11/11/19968/15/2000
InactiveNorthern Insurance Company of New York301317Agent - Property8/15/200012/16/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty12/7/20111/28/2012
InactiveOhio Casualty Insurance Company301492Agent - Property12/7/20111/28/2012
InactiveOhio Security Insurance Company300622Agent - Casualty12/7/20111/28/2012
InactiveOhio Security Insurance Company300622Agent - Property12/7/20111/28/2012
InactiveOmaha Insurance Company751908Agent - Health4/27/20126/24/2013
InactivePaul Revere Life Insurance Company300971Agent - Health2/11/19988/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life2/11/19988/24/2000
InactivePeerless Insurance Company301910Agent - Casualty8/15/20001/28/2012
InactivePeerless Insurance Company301910Agent - General Lines11/10/19988/15/2000
InactivePeerless Insurance Company301910Agent - Property8/15/20001/28/2012
InactivePenn Treaty Network America Insurance Company301297Agent - Health7/6/19997/1/2002
InactivePenn Treaty Network America Insurance Company301297Agent - Life7/6/19997/1/2002
InactivePrincipal Life Insurance Company300129Agent - Health2/13/199012/2/2008
InactivePrincipal Life Insurance Company300129Agent - Life2/13/199012/2/2008
InactiveProtective Life Insurance Company300638Agent - Health3/1/202210/1/2022
InactiveProtective Life Insurance Company300638Agent - Life3/1/202210/1/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/11/19988/24/2000
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/11/199811/21/2005
InactiveQBE Insurance Corporation300515Agent - Health10/15/200210/9/2015
InactiveReassure America Life Insurance Company301902Agent - Health7/8/19979/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life7/8/19979/3/2004
InactiveReliaStar Life Insurance Company of New York301018Agent - Health12/18/19903/31/1997
InactiveReliaStar Life Insurance Company of New York301018Agent - Life12/18/19903/31/1997
InactiveSAFECO Insurance Company of America300159Agent - Casualty8/15/20001/28/2012
InactiveSAFECO Insurance Company of America300159Agent - General Lines11/1/19988/15/2000
InactiveSAFECO Insurance Company of America300159Agent - Property8/15/20001/28/2012
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/15/20001/28/2012
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines11/1/19988/15/2000
InactiveSAFECO Insurance Company of Illinois301350Agent - Property8/15/20001/28/2012
InactiveSecurity Life Insurance Company of America300936Agent - Health10/29/199811/5/2001
InactiveSecurity Life Insurance Company of America300936Agent - Life10/29/199811/5/2001
InactiveSecurity Life of Denver Insurance Company300648Agent - Health10/1/20042/14/2005
InactiveSecurity Life of Denver Insurance Company300648Agent - Life10/1/20042/14/2005
InactiveSouth Carolina Insurance Company300080Agent - Casualty8/15/200010/6/2003
InactiveSouth Carolina Insurance Company300080Agent - General Lines6/17/19988/15/2000
InactiveSouth Carolina Insurance Company300080Agent - Property8/15/200010/6/2003
InactiveSouthland Life Insurance Company301175Agent - Health9/6/199110/1/2004
InactiveSouthland Life Insurance Company301175Agent - Life9/6/199110/1/2004
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty6/1/20013/15/2004
InactiveState Automobile Mutual Insurance Company301824Agent - Property6/1/20013/15/2004
InactiveTransamerica Assurance Company300893Agent - Health3/23/19933/23/1993
InactiveTransamerica Assurance Company300893Agent - Life3/23/19933/23/1993
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20088/3/2011
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20058/3/2011
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life8/14/199610/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/10/198810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life8/10/198810/1/2008
InactiveTranscontinental Insurance Company301731Agent - General Lines9/23/19988/15/2000
InactiveTransportation Insurance Company301575Agent - General Lines9/23/19988/15/2000
InactiveTwin City Fire Insurance Company300721Agent - General Lines9/9/199812/22/1999
InactiveUnion Security Insurance Company301844Agent - Health7/19/199411/17/2003
InactiveUnion Security Insurance Company301844Agent - Life2/7/200211/17/2003
InactiveUnited World Life Insurance Company300532Agent - Health7/16/200712/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/22/200612/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/22/200612/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/13/199911/22/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/13/199911/22/2005
InactiveValley Forge Insurance Company301052Agent - General Lines9/23/19988/15/2000
InactiveWest American Insurance Company301112Agent - Casualty12/7/20111/28/2012
InactiveWest American Insurance Company301112Agent - Property12/7/20111/28/2012
InactiveWilcac Life Insurance Company301573Agent - Health5/14/200111/7/2003
InactiveWilcac Life Insurance Company301573Agent - Life5/14/200111/7/2003
Inactive300277Agent - Life1/29/200112/10/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAutoinsurance Network, Inc.398917Agent - General Lines10/11/199611/24/1998
InactiveD & S Management Services Inc.399894Agent - General Lines4/11/19978/15/2000
InactiveD & S Management Services Inc.399894Agent - Property8/15/20005/31/2003
InactiveD & S Management Services Inc.399894Agent - Casualty8/15/20005/31/2003
InactiveDavis Insurance Solutions, LLC911538Agent - Life4/1/20169/30/2020
InactiveDavis Insurance Solutions, LLC911538Agent - Health4/1/20169/30/2020
InactiveDesignated Agent Company Inc.681257Agent - Life12/11/20139/30/2020
InactiveDesignated Agent Company Inc.681257Agent - Health12/11/20139/30/2020
InactiveEmployee Benefits Administrators, Inc.401273Administrator - Not Applicable2/11/19933/31/2014
InactiveEmployee Benefits Administrators, Inc.401273Agent - General Lines2/3/20008/15/2000
InactiveEmployee Benefits Administrators, Inc.401273Agent - Life6/25/19923/31/2014
InactiveEmployee Benefits Administrators, Inc.401273Agent - Health8/15/19883/31/2014
InactiveEmployee Benefits Administrators, Inc.401273Agent - Property8/15/20003/31/2014
InactiveEmployee Benefits Administrators, Inc.401273Agent - Casualty8/15/20003/31/2014
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveHealthsmart Benefit Solutions Inc396190Agent - Life3/6/20139/30/2020
InactiveHealthsmart Benefit Solutions Inc396190Agent - Health3/6/20139/30/2020
InactiveTDA Marketing of Kentucky Inc.401284Agent - Life8/27/19912/18/2003
InactiveTDA Marketing of Kentucky Inc.401284Agent - Health8/27/19912/18/2003
InactiveThe Partners Workplace Solutions Group, Inc.695818Agent - Life12/17/20083/31/2016
InactiveThe Partners Workplace Solutions Group, Inc.695818Agent - Health12/17/20083/31/2016
InactiveTransamerica Financial Advisors, Inc.398107Agent - Life6/1/19923/3/2003

© Commonwealth of Kentucky. All rights reserved.