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.

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