DEPARTMENT OF INSURANCE

Affiliations

Name	Bouchard, Timothy Andrew	DOIID	364966	NAIC NPN	502609

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	1/24/2007	11/30/2009
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2009
Inactive	Non Resident	Agent	Life	1/24/2007	11/30/2009
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2009
Inactive	Non Resident	Agent	General Lines	11/3/1999	8/15/2000
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/24/2006	11/30/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	5/24/2006	11/30/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	5/13/2005	11/30/2009
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	5/13/2005	11/30/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/13/2005	11/30/2009
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/13/2005	11/30/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/9/2004	12/18/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/9/2004	12/18/2009
Inactive	Bankers Insurance Company	301880	Agent - Casualty	8/15/2000	9/16/2003
Inactive	Bankers Insurance Company	301880	Agent - General Lines	11/3/1999	8/15/2000
Inactive	Bankers Insurance Company	301880	Agent - Property	8/15/2000	9/16/2003
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/25/2005	11/30/2009
Inactive	Employers Assurance Company	300120	Agent - Casualty	3/14/2001	11/30/2009
Inactive	Everest National Insurance Company	301319	Agent - Casualty	7/29/2002	12/4/2008
Inactive	Everest National Insurance Company	301319	Agent - Property	7/29/2002	12/4/2008
Inactive	FCCI Insurance Company	557454	Agent - Casualty	8/22/2003	12/23/2009
Inactive	FCCI Insurance Company	557454	Agent - Property	8/22/2003	12/23/2009
Inactive	FFVA Mutual Insurance Company	552456	Agent - Casualty	2/19/2007	11/30/2009
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	11/30/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	11/30/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/13/2005	11/30/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	5/13/2005	11/30/2009
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	8/22/2003	12/23/2009
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	8/22/2003	12/23/2009
Inactive	National Trust Insurance Company	300367	Agent - Casualty	8/22/2003	12/23/2009
Inactive	National Trust Insurance Company	300367	Agent - Property	8/22/2003	12/23/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	11/30/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	11/30/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	11/30/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	11/30/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	11/30/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	11/30/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	11/30/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	11/30/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/18/2002	11/30/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/18/2002	11/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/19/2007	11/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/19/2007	11/30/2009
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/19/2007	11/30/2009
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/19/2007	11/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roger Bouchard Ins Inc	546775	Agent - Property	6/5/2002	11/17/2009
Inactive	Roger Bouchard Ins Inc	546775	Agent - Casualty	6/5/2002	11/17/2009
Inactive	Roger Bouchard Ins Inc	546775	Agent - Life	2/19/2007	11/17/2009
Inactive	Roger Bouchard Ins Inc	546775	Agent - Health	2/19/2007	11/17/2009