DEPARTMENT OF INSURANCE
Affiliations
NameHawley, Tim MDOIID607672NAIC NPN7084512
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/6/2018 4/30/2026
ActiveNon ResidentAgentHealth12/6/2018 4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health2/27/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/31/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/28/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/27/2019 
ActiveAetna Life Insurance Company301140Agent - Life2/27/2019 
InactiveAmerican Continental Insurance Company643130Agent - Life3/31/20208/11/2021
ActiveAmerican General Life Insurance Company301585Agent - Health3/22/2019 
ActiveAmerican General Life Insurance Company301585Agent - Life3/22/2019 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health6/7/20054/27/2006
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life1/28/20134/30/2016
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/5/201912/12/2024
InactiveAnthem Life Insurance Company301209Agent - Health8/5/201912/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life8/5/201912/10/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health9/30/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/31/2020 
InactiveCotton States Life Insurance Company300268Agent - Life6/10/20054/27/2006
InactiveCoventry Health and Life Insurance Company301771Agent - Health2/1/20082/25/2010
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/24/20082/25/2010
ActiveGerber Life Insurance Company300529Agent - Health7/1/2022 
ActiveGerber Life Insurance Company300529Agent - Life7/1/2022 
InactiveHumana Insurance Company301104Agent - Life2/13/201512/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/13/201512/8/2015
InactiveKanawha Insurance Company300127Agent - Life2/13/201510/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health9/11/201912/30/2021
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/10/2024 
ActiveNational Health Insurance Company300554Agent - Health6/26/2020 
ActiveNational Health Insurance Company300554Agent - Life6/26/2020 
ActiveSilverScript Insurance Company663526Agent - Health8/14/2019 
ActiveStandard Life and Accident Insurance Company301534Agent - Health8/3/2022 
InactiveTime Insurance Company300683Agent - Health7/12/200712/29/2008
InactiveTime Insurance Company300683Agent - Life7/12/200712/29/2008
InactiveUnion Bankers Insurance Company301769Agent - Health6/6/20054/27/2006
InactiveUnion Bankers Insurance Company301769Agent - Life6/6/20054/27/2006
InactiveUnited American Insurance Company300910Agent - Health5/31/20054/27/2006
InactiveUnited American Insurance Company300910Agent - Life5/31/20054/27/2006
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/20/2019 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/20/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/20/201912/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/20/2019 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/21/20195/29/2023
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health7/28/20086/10/2009
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/21/20195/31/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life8/16/201912/14/2020
InactiveDesignated Agent Company Inc.681257Agent - Health8/16/201912/14/2020
ActiveNational Insurance Associates1072755Agent - Life2/2/2020 
ActiveNational Insurance Associates1072755Agent - Health2/2/2020 

© Commonwealth of Kentucky. All rights reserved.