DEPARTMENT OF INSURANCE

Affiliations

Name	Hussey, Timothy Robert	DOIID	305651	NAIC NPN	334023

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	11/9/2009	8/31/2011
Inactive	Non Resident	Agent	Life	12/6/2005	8/31/2011
Inactive	Non Resident	Agent	Health	12/6/2005	8/31/2011
* 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	American States Life Insurance Company	301884	Agent - Health	11/1/1998	7/6/1999
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	7/6/1999
Inactive	Canada Life Assurance Company	301192	Agent - Health	11/13/1996	7/6/1999
Inactive	Canada Life Assurance Company	301192	Agent - Life	11/13/1996	7/6/1999
Inactive	Delaware Life Insurance Company	301256	Agent - Life	5/19/2009	11/24/2010
Inactive	Fort Wayne Health & Casualty Insurance Company	301572	Agent - Health	8/1/1995	7/6/1999
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	10/13/1998	7/6/1999
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	10/13/1998	7/6/1999
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/23/2010	8/31/2011
Inactive	HCC Life Insurance Company	301827	Agent - Life	6/23/2010	8/31/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/10/2006	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/10/2006	12/11/2009
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	7/3/2003	8/31/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	7/3/2003	8/31/2005
Inactive	Lincoln National Reassurance Company	301919	Agent - Health	8/1/1995	7/6/1999
Inactive	Lincoln National Reassurance Company	301919	Agent - Life	8/1/1995	7/6/1999
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/15/2007	8/31/2011
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	7/1/2003	8/31/2005
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	7/1/2003	8/31/2005
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	8/31/2011
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	8/31/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	5/28/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	5/28/2009	8/22/2011
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/12/2001	8/31/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	6/13/2001	8/31/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/15/2007	8/31/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/15/2007	8/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/5/2003	8/31/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/5/2003	8/31/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/5/2003	8/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	90 Degree Benefits, Inc.	396285	Administrator - Not Applicable	11/10/2009	8/4/2011
Inactive	Hub International Southwest Agency Limited	401335	Agent - Health	8/10/1995	7/6/1999
Inactive	Hub International Southwest Agency Limited	401335	Agent - Life	8/10/1995	7/6/1999
Inactive	Wisconsin Pension & Group Services, Inc.	399368	Agent - Health	1/10/2006	8/31/2011
Inactive	Wisconsin Pension & Group Services, Inc.	399368	Agent - Life	1/10/2006	8/31/2011