DEPARTMENT OF INSURANCE

Affiliations

Name	Stephenson, Timothy Allen	DOIID	363318	NAIC NPN	1484164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/22/1987	4/24/1996
Inactive	Resident	Agent	Health	12/22/1987	4/24/1996
Inactive	Resident	Agent	Health Maintenance Organization	6/29/1992	1/31/1996
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	9/18/1991	2/2/1996
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/18/1991	2/2/1996
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	11/21/1991	2/5/1996
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	11/21/1991	2/5/1996
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/20/1990	2/7/1996
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/20/1990	2/7/1996
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/7/1995	3/11/1996
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/7/1995	3/11/1996
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/29/1992	1/31/1996
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/10/1995	2/26/1996
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/10/1995	2/26/1996
Inactive	Manufacturers Life Insurance Company	300855	Agent - Health	10/10/1995	2/22/1996
Inactive	Manufacturers Life Insurance Company	300855	Agent - Life	10/10/1995	2/22/1996
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	11/13/1991	2/5/1996
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	11/13/1991	2/5/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	6/30/1988	4/24/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	6/30/1988	4/24/1996
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/19/1988	12/27/1995
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/19/1988	12/27/1995
Inactive	Prudential Insurance Company of America	300784	Agent - Health	12/22/1987	12/27/1995
Inactive	Prudential Insurance Company of America	300784	Agent - Life	12/22/1987	12/27/1995
Inactive	Time Insurance Company	300683	Agent - Health	6/28/1990	2/12/1996
Inactive	Time Insurance Company	300683	Agent - Life	6/28/1990	2/12/1996
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/12/1994	2/5/1996
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/12/1994	2/5/1996
Inactive	Washington National Insurance Company	300587	Agent - Health	1/22/1996	4/10/1996
Inactive	Washington National Insurance Company	300587	Agent - Life	1/22/1996	4/10/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	2/6/1996
Inactive	Insurance One Inc.	399840	Agent - Life	5/21/1992	4/24/1996
Inactive	Insurance One Inc.	399840	Agent - Health	5/21/1992	4/24/1996