DEPARTMENT OF INSURANCE

Affiliations

Name	Fine, Timothy James	DOIID	689024	NAIC NPN	11576063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/28/2017	2/28/2027
Active	Non Resident	Agent	Personal Lines	4/8/2024	2/28/2027
Active	Non Resident	Agent	Property	4/28/2017	2/28/2027
Active	Non Resident	Agent	Health	4/28/2017	2/28/2027
Active	Non Resident	Agent	Casualty	4/28/2017	2/28/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/14/2026	2/28/2029
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	7/13/2017
Active	AIG Property Casualty Company	300621	Agent - Property	7/13/2017
Active	American Economy Insurance Company	300315	Agent - Personal Lines	6/17/2026
Active	American General Life Insurance Company	301585	Agent - Health	4/15/2024
Active	American General Life Insurance Company	301585	Agent - Life	4/15/2024
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/30/2008	7/21/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/30/2008	7/21/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/30/2008	7/21/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	9/30/2008	7/21/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/27/2017
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	9/30/2008	7/21/2009
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	9/30/2008	7/21/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/16/2008	7/21/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/16/2008	7/21/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/2/2017	4/30/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/2/2017	4/30/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/2/2017	4/30/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2017	4/30/2018
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/13/2017
Active	Zurich American Insurance Company	301121	Agent - Property	7/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Personal Lines LLC	715217	Agent - Property	7/13/2017
Active	Willis Personal Lines LLC	715217	Agent - Casualty	7/13/2017
Active	Willis Personal Lines LLC	715217	Agent - Health	8/3/2017
Inactive	Willis Personal Lines LLC	715217	Agent - Life	7/26/2017	4/30/2021
Denied	Willis Personal Lines LLC	715217	Agent - Personal Lines
Active	Willis Personal Lines LLC	715217	Surplus Lines Broker - Not Applicable	8/10/2026