DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tollick, Arthur	DOIID	355722	NAIC NPN	2066784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/1/2001	11/30/2011
Inactive	Non Resident	Agent	Prepaid Dental Plan	6/23/1999	3/1/2001
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/19/2002	11/30/2011
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	6/23/1999	3/1/2001
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/19/2002	11/30/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AYB Insurance Services, Inc.	522595	Agent - Health	10/11/2001	3/3/2003