DEPARTMENT OF INSURANCE

Affiliations

Name	Boldrick, Timothy Lawrence	DOIID	366046	NAIC NPN	1477540

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/10/1990	6/30/2004
Inactive	Resident	Agent	Life	8/10/1990	6/30/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/27/1996	3/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/27/1996	3/8/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Health	7/1/1997	10/8/1999
Inactive	American Fidelity Assurance Company	301004	Agent - Life	7/1/1997	10/8/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/25/1996	3/8/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/25/1996	3/8/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/6/2000	3/8/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/6/2000	3/8/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/6/1998	12/22/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/6/1998	12/22/2003
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	11/12/2002	9/11/2003
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	11/12/2002	9/11/2003
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/16/1996	3/4/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/16/1996	3/4/1997
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	2/10/2000	11/25/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	2/10/2000	11/25/2002
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	8/10/1990	3/29/1996
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	8/10/1990	3/29/1996
Inactive	National States Insurance Company	300579	Agent - Health	8/25/1999	6/30/2004
Inactive	National States Insurance Company	300579	Agent - Life	8/25/1999	6/30/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/31/1998	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/31/1998	1/3/2003
Inactive	Senior Life Insurance Company	558267	Agent - Life	11/12/2002	3/8/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/21/1996	5/15/1997
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	2/21/1996	5/15/1997
Inactive	State Mutual Insurance Company	300359	Agent - Health	6/22/1999	12/18/2002
Inactive	State Mutual Insurance Company	300359	Agent - Life	6/22/1999	12/18/2002
Inactive	Trustmark Insurance Company	300317	Agent - Health	5/17/2002	8/15/2002
Inactive	Trustmark Insurance Company	300317	Agent - Life	5/17/2002	8/15/2002
Inactive	United American Insurance Company	300910	Agent - Health	8/26/1996	3/31/1997
Inactive	United American Insurance Company	300910	Agent - Life	8/26/1996	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	9/13/1996	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	9/13/1996	2/10/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	6/30/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	2/28/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	3/17/2004