PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBlackwell, Tim SDOIID758055NAIC NPN16288499
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/10/20186/30/2024 
InactiveNon ResidentAgentLife1/10/20186/30/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health1/24/20126/30/2014
InactiveAetna Life Insurance Company301140Agent - Health1/24/20126/30/2014
InactiveAetna Life Insurance Company301140Agent - Life1/24/20126/30/2014
InactiveAmerican Continental Insurance Company643130Agent - Health7/21/20116/30/2014
InactiveAmerican Continental Insurance Company643130Agent - Life7/21/20116/30/2014
InactiveAmerican General Life Insurance Company301585Agent - Life10/3/20226/30/2024
InactiveAmerican Retirement Life Insurance Company706303Agent - Health11/19/20136/30/2014
InactiveAmerican Retirement Life Insurance Company706303Agent - Life11/19/20136/30/2014
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health3/28/20186/7/2023
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/28/20186/7/2023
InactiveCompBenefits Dental, Inc.591692Agent - Health2/21/20125/20/2014
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/21/20116/30/2014
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/21/20116/30/2014
InactiveDental Concern Inc. (The)301641Agent - Health2/21/20125/20/2014
InactiveFirst Health Life & Health Insurance Company301735Agent - Health4/16/20126/30/2014
InactiveGerber Life Insurance Company300529Agent - Health9/23/20228/12/2024
InactiveGerber Life Insurance Company300529Agent - Life9/23/20228/12/2024
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health7/20/20116/30/2014
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life7/20/20116/30/2014
InactiveGreat Southern Life Insurance Company301443Agent - Health8/13/20194/6/2023
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20126/30/2014
InactiveHumana Health Plan, Inc.300142Agent - Health2/21/20126/30/2014
InactiveHumana Insurance Company301104Agent - Health2/3/20126/30/2014
InactiveHumana Insurance Company301104Agent - Life2/3/20126/30/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/21/20126/30/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/21/20126/30/2014
InactiveLumico Life Insurance Company300354Agent - Life1/17/20236/30/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health5/3/20124/22/2013
InactiveOmaha Insurance Company751908Agent - Health5/23/20126/30/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/3/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/3/20126/24/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/30/20116/24/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/30/20116/24/2013
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/20185/13/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBroadway Benefits Group LLC1222862Agent - Life8/12/20223/31/2024
InactiveBroadway Benefits Group LLC1222862Agent - Health8/12/20223/31/2024
InactiveDesignated Agent Company Inc.681257Agent - Life12/16/20136/30/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/16/20136/30/2014
InactiveRitter Ins Marketing LLC718865Agent - Life3/29/20126/30/2014
InactiveRitter Ins Marketing LLC718865Agent - Health3/29/20126/30/2014

© Commonwealth of Kentucky. All rights reserved.