DEPARTMENT OF INSURANCE

Affiliations

Name	Shackleford, Timothy	DOIID	665149	NAIC NPN	9701346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/28/2018	5/31/2022
Inactive	Non Resident	Agent	Property	10/17/2007	4/6/2011
Inactive	Non Resident	Agent	Casualty	10/17/2007	4/6/2011
* 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	8/27/2021	5/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/25/2021	5/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/27/2021	5/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/27/2021	5/31/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/6/2018	9/16/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/12/2019	9/16/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/25/2021	5/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/6/2018	9/16/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/25/2007	4/5/2011
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/25/2007	4/5/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/6/2018	9/16/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/4/2018	9/16/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/6/2018	9/16/2021
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2021	5/31/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/6/2018	9/16/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/6/2018	9/16/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/6/2018	9/16/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	4/5/2011
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	4/5/2011
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	4/5/2011
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	4/5/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/25/2007	4/5/2011
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/25/2007	4/5/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/25/2007	4/5/2011
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/25/2007	4/5/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/25/2007	4/5/2011
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/25/2007	4/5/2011
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/27/2021	5/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/6/2021	7/28/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/6/2021	7/28/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/6/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/6/2021	7/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	5/31/2022