DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson, Timothy M	DOIID	622833	NAIC NPN	344569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/29/2005		10/31/2026
Active	Non Resident	Agent	Health	12/29/2005		10/31/2026
Active	Non Resident	Agent	Life	12/29/2005		10/31/2026
Active	Non Resident	Agent	Property	12/29/2005		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/18/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/18/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	6/18/2020	8/11/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/18/2020
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/12/2025
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	2/23/2006	12/31/2022
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/6/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	5/6/2015	8/8/2018
Active	Pan-American Life Insurance Company	301530	Agent - Life	12/31/2022
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/7/2006	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/7/2006	12/5/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/6/2015
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/6/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/16/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alera Group, Inc.	941451	Agent - Casualty
Denied	Alera Group, Inc.	941451	Agent - Property
Active	Alera Group, Inc.	941451	Agent - Health	3/10/2025
Active	Alera Group, Inc.	941451	Agent - Life	3/10/2025
Active	T I C Inc	625009	Agent - Casualty	3/17/2006
Active	T I C Inc	625009	Agent - Property	3/17/2006