DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Niebel, Timothy Alan	DOIID	348369	NAIC NPN	2776006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/28/1998	5/31/2003
Inactive	Non Resident	Agent	Health	12/28/1998	5/31/2003
* 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	Glenbrook Life and Annuity Company	301384	Agent - Life	10/26/1999	5/31/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/25/1999	5/31/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/25/1999	5/31/2003
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/31/2001	5/31/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/28/1998	5/31/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/28/1998	5/31/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/28/1998	5/31/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/28/1998	5/31/2003
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	3/13/2000	5/31/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	3/13/2000	5/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/21/1999	8/27/1999
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/21/1999	8/27/1999
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/21/1999	8/27/1999
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/21/1999	8/27/1999
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/21/1999	5/31/2003
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	9/22/2000	5/31/2003
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	9/22/2000	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	10/19/2000	5/31/2003
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	10/19/2000	5/31/2003