DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Timothy Evans	DOIID	349228	NAIC NPN	2793117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/1989	4/30/2026
Active	Non Resident	Agent	Life	7/20/1989	4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	5/10/2024
Active	All Savers Insurance Company	301940	Agent - Life	5/10/2024
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/1/1999	12/11/2000
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/1/1999	12/11/2000
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/5/2013	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/5/2013	4/16/2016
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	12/27/1999	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	12/27/1999	9/8/2000
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2013	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	7/22/2009	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/22/2009	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/5/2016	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/22/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/22/2009	2/24/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	12/31/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	12/31/2006
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/20/1989	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/20/1989	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/5/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/5/2013	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/2/2007	4/10/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/2/2007	4/10/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/5/2002	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/5/2002	11/17/2008
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/20/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/20/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/20/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	6/6/2011	1/14/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	12/8/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	4/16/2016
Denied	HP Planning LLC	839238	Agent - Life
Denied	HP Planning LLC	839238	Agent - Health
Inactive	Medlink Inc	400721	Agent - Life	9/27/2007	11/17/2008
Inactive	Medlink Inc	400721	Agent - Health	9/27/2007	11/17/2008