DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Timothy Steven	DOIID	948875	NAIC NPN	17647546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/24/2017		10/31/2026
Active	Non Resident	Agent	Life	3/24/2017		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/17/2017
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	4/17/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/16/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/25/2018	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2018	4/15/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/20/2021	12/24/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	6/21/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	6/21/2019
Inactive	Independence American Insurance Company	524747	Agent - Health	8/15/2017	12/18/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	5/6/2019	12/20/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/31/2023	12/10/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	11/8/2021
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/8/2017	11/18/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	4/3/2017	12/12/2017
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/15/2021

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	10/26/2018	3/13/2026
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/26/2018	3/13/2026
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	4/22/2022
Active	Insureme, Inc.	1363699	Agent - Life	3/25/2026
Active	Insureme, Inc.	1363699	Agent - Health	3/25/2026