DEPARTMENT OF INSURANCE
Affiliations
NameBlackwell, Tim SDOIID758055NAIC NPN16288499
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife1/10/2018 6/30/2024
Pending ReplacementNon ResidentAgentHealth1/10/2018 6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/2024   
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
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life10/3/2022 
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
Pending ReplacementGerber Life Insurance Company300529Agent - Health9/23/2022 
Pending ReplacementGerber Life Insurance Company300529Agent - Life9/23/2022 
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
Pending ReplacementLumico Life Insurance Company300354Agent - Life1/17/2023 
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

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