DEPARTMENT OF INSURANCE

Affiliations

Name	Ipema, Tim M	DOIID	760806	NAIC NPN	16333515

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/27/2020	7/31/2027
Active	Non Resident	Agent	Life	3/27/2020	7/31/2027
* 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	05/15/2025	07/31/2025	05/02/2025	05/02/2025	Yes

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	4/1/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/1/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/26/2011	7/22/2014
Inactive	American Continental Insurance Company	643130	Agent - Health	10/8/2012	12/23/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	10/8/2012	12/23/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/21/2012	11/7/2012
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/8/2012	7/22/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/8/2012	7/22/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/21/2012	11/7/2012
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/5/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/13/2012	7/22/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	11/7/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/21/2012	11/7/2012
Inactive	Humana Insurance Company	301104	Agent - Health	2/3/2012	11/7/2012
Inactive	Humana Insurance Company	301104	Agent - Life	2/3/2012	11/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/21/2012	11/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/21/2012	11/7/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/3/2012	3/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	5/23/2012	7/22/2013
Active	SilverScript Insurance Company	663526	Agent - Health	4/1/2020
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	1/25/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/15/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/15/2011	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/30/2011	2/18/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/30/2011	2/18/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2013	7/22/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2013	7/22/2014
Inactive	Ritter Ins Marketing LLC	718865	Agent - Life	3/29/2012	7/22/2014
Inactive	Ritter Ins Marketing LLC	718865	Agent - Health	3/29/2012	7/22/2014