DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Timothy J	DOIID	887426	NAIC NPN	8016120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/18/2015	5/31/2019
Pending Replacement	Non Resident	Agent	Health	10/6/2021		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	5/8/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	2/22/2024	12/28/2024
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/8/2024
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	5/8/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/15/2016	5/31/2019
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	1/17/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/17/2024	12/16/2024
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/8/2015	3/31/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/6/2024	12/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/17/2024	12/16/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/22/2024	12/28/2024
Pending Replacement	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/22/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/15/2016	5/31/2019
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	8/19/2015	1/1/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/5/2016	12/28/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/5/2016	12/28/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/19/2023	12/12/2024
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	12/1/2016	12/12/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	12/1/2016	12/12/2017
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/2/2023	5/30/2024
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	5/8/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/6/2024	12/3/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/15/2015	7/14/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/6/2024	12/3/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	3/7/2025	4/17/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	5/31/2019

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 - Health	3/8/2017	5/31/2019