DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lom, Timothy M	DOIID	973962	NAIC NPN	17555099

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2017		12/31/2026
Active	Non Resident	Agent	Life	10/23/2017		12/31/2026
* 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	10/15/2026	12/31/2026

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	3/11/2025
Active	All Savers Insurance Company	301940	Agent - Life	3/11/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/2/2017	10/23/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/2/2017	10/23/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/11/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/11/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/11/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/11/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/2/2017	10/23/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/2/2017	10/23/2024