DEPARTMENT OF INSURANCE

Affiliations

Name	Platt, Timothy J	DOIID	352619	NAIC NPN	59033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/31/1990	9/30/1999
Inactive	Non Resident	Agent	Life	5/31/1990	9/30/1999
Inactive	Non Resident	Agent	Health Maintenance Organization	6/28/1990	9/30/1999
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/28/1990	9/30/1999
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/25/1997	9/30/1999
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/25/1997	9/30/1999
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/3/1996	12/31/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/3/1996	12/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/13/1990	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/13/1990	3/31/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	8/2/1995	9/30/1999
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/2/1995	9/30/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	6/29/1994	12/18/1998
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	6/29/1994	12/18/1998
Inactive	New York Life Insurance Company	300431	Agent - Health	5/31/1990	12/18/1998
Inactive	New York Life Insurance Company	300431	Agent - Life	5/31/1990	12/18/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	5/31/1990	12/18/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/31/1990	12/18/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/30/1997	9/30/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/25/1995	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/30/1990	9/30/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/30/1990	9/30/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/2/1997	9/30/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/2/1997	9/30/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	9/30/1999
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	9/30/1999