DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tillotson, John Bernard	DOIID	305467	NAIC NPN	582743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/30/2006	7/31/2013
Inactive	Non Resident	Agent	Life	5/30/2006	7/31/2013
* 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
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/4/2006	11/16/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/4/2006	11/16/2011
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	11/20/1998	7/31/2005
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	11/20/1998	7/31/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	6/13/1995	7/31/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	6/13/1995	7/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	1/9/2004	1/31/2005
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	1/9/2004	1/31/2005