DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blair, Timothy L	DOIID	358242	NAIC NPN	7195119

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/29/2012
Inactive	Resident	Agent	Health	9/30/1999	3/1/2010
Inactive	Resident	Agent	Life	9/30/1999	3/1/2010
Inactive	Resident	Agent	Credit Life & Health	4/14/1992	8/7/2000
* 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	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/18/2003	3/1/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/18/2003	3/1/2010
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	3/27/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	9/30/1999	3/1/2010
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	9/30/1999	3/1/2010
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	2/29/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	7/19/2000	1/25/2007
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	7/19/2000	1/25/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	4/14/1992	7/7/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cecilian Bank	398349	Agent - Limited Line Credit	1/22/2004	2/10/2011
Inactive	PNC Bank-Kentucky Inc.	400578	Agent - Credit Life & Health	8/18/1993	2/22/1999