DEPARTMENT OF INSURANCE

Affiliations

Name	Holloway, Timothy Scott	DOIID	760502	NAIC NPN	16337559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	12/16/2014	9/30/2024
Active	Resident	Agent	Property	3/16/2016	9/30/2024
Active	Resident	Agent	Casualty	3/16/2016	9/30/2024
Active	Resident	Agent	Life	12/16/2014	9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

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	10/12/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	10/12/2018
Active	All Savers Insurance Company	301940	Agent - Health	1/10/2015
Active	All Savers Insurance Company	301940	Agent - Life	5/27/2015
Active	American United Life Insurance Company	300498	Agent - Health	6/27/2017
Active	American United Life Insurance Company	300498	Agent - Life	6/27/2017
Active	Anthem Life Insurance Company	301209	Agent - Health	1/29/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	1/29/2015
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	9/9/2020
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	9/9/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/10/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/28/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/28/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/25/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/14/2020	12/15/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/25/2012	7/2/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/12/2018	6/15/2022
Active	Dearborn Life Insurance Company	300401	Agent - Health	1/26/2015
Active	Dearborn Life Insurance Company	300401	Agent - Life	1/26/2015
Inactive	Dental Care Plus Inc.	301495	Agent - Health	1/19/2015	3/19/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/11/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/12/2015	3/27/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/12/2015	3/27/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/14/2013	10/1/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/14/2013	10/1/2014
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/16/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/16/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/20/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/20/2023
Inactive	Health Resources Inc.	301210	Agent - Health	6/1/2015	12/17/2018
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/29/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/11/2015
Active	Humana Insurance Company	301104	Agent - Health	2/11/2015
Active	Humana Insurance Company	301104	Agent - Life	2/11/2015
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/11/2015
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/11/2015
Active	Humana Medical Plan, Inc.	801568	Agent - Health	1/29/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	1/29/2021
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/25/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/25/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/3/2012	10/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/8/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	1/27/2015	10/29/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/21/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/21/2018
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/7/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/7/2015
Active	National Health Insurance Company	300554	Agent - Health	5/23/2024
Active	National Health Insurance Company	300554	Agent - Life	5/23/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/2/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/2/2020
Active	Nippon Life Insurance Company of America	300446	Agent - Health	5/14/2020
Active	Nippon Life Insurance Company of America	300446	Agent - Life	5/14/2020
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/21/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/21/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/11/2018
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/11/2018
Active	Standard Insurance Company	300185	Agent - Health	2/27/2018
Active	Standard Insurance Company	300185	Agent - Life	2/27/2018
Active	Starmount Life Insurance Company	628031	Agent - Health	3/21/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/18/2015	12/29/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/18/2015	12/29/2023
Inactive	Time Insurance Company	300683	Agent - Health	7/28/2014	10/9/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/28/2014	10/9/2014
Active	Trustmark Life Insurance Company	301286	Agent - Health	11/7/2023
Active	Trustmark Life Insurance Company	301286	Agent - Life	11/7/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/21/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/21/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/2/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/2/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/26/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/26/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/26/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/26/2023
Active	Unum Insurance Company	301499	Agent - Health	3/21/2023
Active	Unum Insurance Company	301499	Agent - Life	3/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Life	1/7/2015	10/25/2016
Inactive	CIS Ins And Investments Partners LLC	849509	Agent - Health	1/7/2015	10/25/2016
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	1/16/2015	7/27/2016
Active	Designated Agent Company Inc.	681257	Agent - Life	1/29/2015
Active	Designated Agent Company Inc.	681257	Agent - Health	1/29/2015
Inactive	FSAB, LLC	576450	Agent - Life	6/7/2012	10/1/2014
Inactive	FSAB, LLC	576450	Agent - Health	4/6/2012	10/1/2014
Active	Mcgriff Insurance Services, LLC	400877	Agent - Life	10/28/2015
Active	Mcgriff Insurance Services, LLC	400877	Agent - Health	10/28/2015
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	10/1/2014