DEPARTMENT OF INSURANCE

Affiliations

Name	Casey, Timothy W	DOIID	681348	NAIC NPN	69797

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/16/2008	5/31/2027
Active	Non Resident	Agent	Life	6/16/2008	5/31/2027
* 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	03/15/2025	05/31/2025	05/05/2025	05/05/2025	Yes

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	7/30/2023	7/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2023	7/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/30/2023	7/30/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/18/2011	3/14/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/18/2011
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/18/2011
Active	Humana Insurance Company	301104	Agent - Health	2/18/2011
Active	Humana Insurance Company	301104	Agent - Life	2/18/2011
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/18/2011
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/18/2011
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/18/2011	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/18/2011	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/9/2019	2/17/2023
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/30/2014	1/15/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/30/2014	1/15/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/30/2023	7/30/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/21/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/21/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	GoldenCare USA, LLC	398142	Agent - Health	11/3/2016
Active	GoldenCare USA, LLC	398142	Agent - Life	11/3/2016
Active	National Independent Brokers, LLC	502029	Agent - Health	11/3/2016
Active	National Independent Brokers, LLC	502029	Agent - Life	11/3/2016