DEPARTMENT OF INSURANCE

Affiliations

Name	Hawley, Tim M	DOIID	607672	NAIC NPN	7084512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/6/2018	4/30/2026
Active	Non Resident	Agent	Health	12/6/2018	4/30/2026
* 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	2/27/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/31/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/27/2019
Active	Aetna Life Insurance Company	301140	Agent - Life	2/27/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	3/31/2020	8/11/2021
Active	American General Life Insurance Company	301585	Agent - Health	3/22/2019
Active	American General Life Insurance Company	301585	Agent - Life	3/22/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	6/7/2005	4/27/2006
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/28/2013	4/30/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/5/2019	12/12/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/5/2019	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/5/2019	12/10/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	9/30/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/31/2020
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	6/10/2005	4/27/2006
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/1/2008	2/25/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/24/2008	2/25/2010
Active	Gerber Life Insurance Company	300529	Agent - Health	7/1/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	7/1/2022
Inactive	Humana Insurance Company	301104	Agent - Life	2/13/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/13/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/13/2015	10/22/2015
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	9/11/2019	12/30/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/10/2024
Active	National Health Insurance Company	300554	Agent - Health	6/26/2020
Active	National Health Insurance Company	300554	Agent - Life	6/26/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/14/2019
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	8/3/2022
Inactive	Time Insurance Company	300683	Agent - Health	7/12/2007	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	7/12/2007	12/29/2008
Inactive	Union Bankers Insurance Company	301769	Agent - Health	6/6/2005	4/27/2006
Inactive	Union Bankers Insurance Company	301769	Agent - Life	6/6/2005	4/27/2006
Inactive	United American Insurance Company	300910	Agent - Health	5/31/2005	4/27/2006
Inactive	United American Insurance Company	300910	Agent - Life	5/31/2005	4/27/2006
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/20/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/20/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/20/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/20/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019	5/29/2023
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	6/10/2009
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	5/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/16/2019	12/14/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/16/2019	12/14/2020
Active	National Insurance Associates	1072755	Agent - Life	2/2/2020
Active	National Insurance Associates	1072755	Agent - Health	2/2/2020