DEPARTMENT OF INSURANCE
Affiliations
NameDavis, Timothy JDOIID776887NAIC NPN16571643
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/31/2012 10/31/2024
ActiveResidentAgentHealth7/3/2012 10/31/2024
ActiveResidentAgentLife5/22/2012 10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/23/201312/27/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/23/201312/27/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities12/23/201312/27/2016
InactiveAmerican General Life Insurance Company301585Agent - Life2/19/201312/3/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities2/19/201312/3/2019
ActiveBrighthouse Life Insurance Company301829Agent - Health11/16/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/16/2016 
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/20148/11/2015
InactiveCompBenefits Dental, Inc.591692Agent - Health12/23/201512/13/2016
InactiveDental Concern Inc. (The)301641Agent - Health1/16/20174/10/2018
InactiveErie Family Life Insurance Company301400Agent - Life8/30/20173/13/2018
InactiveGolden Rule Insurance Company301943Agent - Health5/2/20165/9/2018
InactiveGolden Rule Insurance Company301943Agent - Life5/2/20165/9/2018
InactiveGrange Life Insurance Company300128Agent - Health7/27/20173/9/2020
InactiveGrange Life Insurance Company300128Agent - Life7/27/20173/9/2020
InactiveHartford Life and Accident Insurance Company300878Agent - Health10/21/20166/17/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life10/21/20166/17/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/14/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health1/4/20164/10/2018
InactiveHumana Insurance Company301104Agent - Health12/23/20154/10/2018
InactiveHumana Insurance Company301104Agent - Life12/23/20154/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/14/20164/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/14/20164/10/2018
InactiveJackson National Life Insurance Company300486Agent - Life10/17/201312/16/2013
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/17/201312/16/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/19/201612/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/19/201612/29/2020
ActiveLincoln National Life Insurance Company (The)301382Agent - Health12/9/2013 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life12/9/2013 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities12/9/2013 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health2/19/20161/3/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life10/29/20151/3/2018
InactiveMetLife Investors USA Insurance Company300845Agent - Health12/24/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life12/24/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities12/24/201311/14/2014
InactiveNationwide Life Insurance Company300495Agent - Health1/8/20149/8/2015
InactiveNationwide Life Insurance Company300495Agent - Life1/8/20149/8/2015
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/8/20149/8/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/8/20149/8/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/8/20149/8/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/8/20149/8/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/7/20148/5/2015
InactivePacific Life Insurance Company301848Agent - Life8/9/201211/4/2015
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/9/201211/4/2015
ActiveProtective Life Insurance Company300638Agent - Health1/10/2014 
ActiveProtective Life Insurance Company300638Agent - Life1/10/2014 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities1/10/2014 
InactivePruco Life Insurance Company300954Agent - Life8/15/201212/11/2013
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/15/201212/11/2013
InactiveSymetra Life Insurance Company301691Agent - Health1/8/20148/5/2015
InactiveSymetra Life Insurance Company301691Agent - Life1/8/20148/5/2015
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities1/8/20148/5/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/14/201412/24/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/14/201412/24/2015
InactiveTransamerica Life Insurance Company300571Agent - Life3/5/20139/14/2015
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/5/20139/14/2015
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health5/2/201611/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/1/201611/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/1/20162/14/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDental Choice Agency Inc.398085Agent - Health2/10/2017 
ActiveDesignated Agent Company Inc.681257Agent - Life11/19/2015 
ActiveDesignated Agent Company Inc.681257Agent - Health11/19/2015 
InactiveMCDW Holdings, LLC622791Agent - Life9/1/20153/31/2019
InactiveMCDW Holdings, LLC622791Agent - Health9/1/20153/31/2019
InactiveMedlink Inc400721Agent - Life11/19/20153/31/2024
InactiveMedlink Inc400721Agent - Health11/19/20153/31/2024
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities6/5/201312/16/2013
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life6/5/201312/16/2013
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health5/29/201312/10/2013
ActivePlanchoice Inc.400482Agent - Life2/10/2017 
ActivePlanchoice Inc.400482Agent - Health2/10/2017 

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