DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tindle, Jerry Thomas	DOIID	379384	NAIC NPN	7152378

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	6/30/1986	3/31/1997
Inactive	Resident	Agent	Non-profit Health Service	12/30/1998	3/1/2001
Inactive	Resident	Agent	Health	4/24/1992	9/1/2009
Inactive	Resident	Agent	Life	4/24/1992	12/11/2002
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/30/1986	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/1993	12/11/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/1993	12/11/2002
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	3/1/2001	8/31/2009
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Non-profit Health Service	12/30/1998	3/1/2001
Inactive	Dental Choice, Inc.	301702	Agent - Health	2/9/2007	8/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/24/1992	12/11/2002
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/24/1992	2/28/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	8/31/2009
Inactive	Dental Choice Agency Inc.	398085	Agent - Non-profit Health Service	8/9/1999	3/1/2001