DEPARTMENT OF INSURANCE

Affiliations

Name	Keohane, Timothy John	DOIID	632855	NAIC NPN	8561762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/26/2006	4/20/2012
Inactive	Non Resident	Agent	Life	5/26/2006	4/20/2012
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/3/2008	4/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/3/2008	4/20/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/3/2008	4/20/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/29/2008	4/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/29/2008	4/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/29/2008	4/20/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	12/26/2008	4/20/2012
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	5/24/2008	4/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	4/20/2012
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/24/2008	4/20/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/12/2007	8/27/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/12/2007	8/27/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/12/2007	4/20/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/12/2007	4/20/2012
Inactive	Health Net Life Insurance Company	620945	Agent - Health	3/25/2008	4/20/2012
Inactive	Health Net Life Insurance Company	620945	Agent - Life	3/25/2008	4/20/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/29/2008	4/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	7/29/2008	4/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	7/29/2008	4/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/29/2008	4/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/29/2008	4/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/29/2008	4/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/29/2008	4/20/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/7/2007	8/4/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	6/12/2007	11/5/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	6/12/2007	11/18/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/6/2011	4/20/2012
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	7/22/2011	4/20/2012
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	7/22/2011	4/20/2012
Inactive	Security Life Insurance Company of America	300936	Agent - Health	10/17/2011	4/20/2012
Inactive	Security Life Insurance Company of America	300936	Agent - Life	10/17/2011	4/20/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/11/2010	4/20/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Health	8/29/2011	4/20/2012
Inactive	Sterling Life Insurance Company	301947	Agent - Life	8/29/2011	4/20/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	2/7/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/7/2007	8/4/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/7/2007	8/4/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/31/2009	11/18/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/6/2009	11/18/2011
Inactive	Washington National Insurance Company	300587	Agent - Health	9/5/2011	4/12/2012
Inactive	Washington National Insurance Company	300587	Agent - Life	9/5/2011	4/12/2012
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	7/28/2008	4/29/2010
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/19/2010	4/20/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	10/30/2006	4/20/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	10/30/2006	4/20/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Life	11/7/2006	4/20/2012
Inactive	Alight Health Market Insurance Solutions Inc	643602	Agent - Health		4/20/2012
Inactive	Medlink Inc	400721	Agent - Life	11/15/2007	4/20/2012
Inactive	Medlink Inc	400721	Agent - Health	11/15/2007	4/20/2012