DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ward, Tim	DOIID	342327	NAIC NPN	7188093

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/7/2013	1/1/2019
* 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	Investors Heritage Life Insurance Company	300363	Agent - Life	12/1/2014	1/1/2019
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	1/27/2005	4/28/2009
Inactive	Pierce National Life Insurance Company	301847	Agent - Life	8/8/1995	5/28/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	J. C. Kirby & Son Funeral Chapel Inc.	400034	Agent - Life	3/21/2003	1/1/2013