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.

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	4/14/2025
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
Active	CareSource Kentucky Co.	838179	Agent - Health	10/20/2021
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
Active	Designated Agent Company Inc.	681257	Agent - Life	10/26/2018
Active	Designated Agent Company Inc.	681257	Agent - Health	10/26/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	4/22/2022