DEPARTMENT OF INSURANCE

Affiliations

Name	Klein, Timothy Albert	DOIID	695719	NAIC NPN	12510265

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/5/2009	3/31/2026
Active	Resident	Agent	Life	1/5/2009	3/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/24/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/24/2024
Active	American General Life Insurance Company	301585	Agent - Health	3/20/2024
Active	American General Life Insurance Company	301585	Agent - Life	3/20/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/15/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/15/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/15/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	2/28/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	2/28/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	1/2/2014	12/8/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Life	1/2/2014	12/8/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/13/2019	12/3/2021
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/1/2019	6/2/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/29/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/28/2010	3/28/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/28/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/28/2010	7/2/2013
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/15/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/1/2011	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/1/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/1/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/1/2011	12/7/2012
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/30/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	9/15/2009
Inactive	Humana Insurance Company	301104	Agent - Health	1/5/2009	3/16/2023
Inactive	Humana Insurance Company	301104	Agent - Life	1/5/2009	3/16/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/15/2009	3/16/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/15/2009	3/16/2023
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	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	7/31/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	7/31/2014
Active	Independent Order of Foresters	300743	Agent - Health	12/19/2023
Active	Independent Order of Foresters	300743	Agent - Life	12/19/2023
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	2/23/2012	6/10/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/15/2009	11/12/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/15/2009	11/12/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Active	National Health Insurance Company	300554	Agent - Health	1/15/2024
Active	National Health Insurance Company	300554	Agent - Life	1/15/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	6/15/2010	4/23/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/15/2010	4/23/2019
Active	Pacific Life Insurance Company	301848	Agent - Health	9/18/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	9/18/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/2/2011	10/21/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/2/2011	10/21/2016
Inactive	Reserve National Insurance Company	301073	Agent - Health	4/12/2016	4/14/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	4/12/2016	4/14/2017
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	2/2/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	2/2/2011	9/29/2012
Active	SilverScript Insurance Company	663526	Agent - Health	4/24/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/4/2010	1/23/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/4/2010	1/23/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/29/2011	1/23/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2011	1/23/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/18/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/18/2011	12/26/2012
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/29/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/29/2023
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	2/28/2024
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	2/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	11/13/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010	7/21/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/2/2018	6/2/2023
Active	Tap Group LLC	1320674	Agent - Health	1/24/2024
Active	Tap Group LLC	1320674	Agent - Life	1/24/2024