DEPARTMENT OF INSURANCE

Affiliations

Name	Deibel, Timothy J	DOIID	383612	NAIC NPN	2831558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/6/2021		6/30/2026
Active	Non Resident	Agent	Life	12/8/2020		6/30/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	10/18/1996	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	06/24/2024	06/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	9/4/2013	3/1/2016
Inactive	AAA Life Insurance Company	300287	Agent - Life	9/4/2013	3/1/2016
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/26/2009	7/6/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/26/2009	7/6/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/26/2009	7/6/2017
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	1/4/2013	4/21/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	10/20/2015	6/30/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	10/20/2015	6/30/2018
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	12/30/2008	12/1/2010
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	12/30/2008	12/1/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/18/1996	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/18/1996	6/30/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/18/1996	6/30/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/14/2017	6/30/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/14/2017	6/30/2018
Active	Banner Life Insurance Company	301696	Agent - Life	4/20/2021
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/23/1996	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/23/1996	4/1/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	8/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/10/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	6/10/2008	6/26/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	8/30/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Health	5/11/2001	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/11/2001	1/1/2007
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/5/2012	11/12/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/20/2013	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/20/2013	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/29/2012	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/29/2012	12/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/4/2006	6/15/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/4/2006	6/15/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/10/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	6/10/2008	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	6/10/2008	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/24/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/19/2009	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/19/2009	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/30/2009	12/13/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/30/2009	12/31/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	3/22/2004	12/11/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	4/25/2013
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	4/16/1996	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/18/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/18/2022
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	1/6/2012	6/25/2014
Inactive	Medico Insurance Company	301559	Agent - Health	3/10/2022	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	3/10/2022	12/21/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/18/2007	11/27/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/18/2007	11/27/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/11/2007	12/26/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	11/15/2012	6/30/2018
Active	North American Company for Life and Health Insurance	300291	Agent - Life	1/23/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	9/11/2017	7/29/2018
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	12/13/2005	6/22/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	12/13/2005	7/17/2012
Active	Pacific Life Insurance Company	301848	Agent - Health	12/28/2021
Active	Pacific Life Insurance Company	301848	Agent - Life	12/28/2021
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/15/2009	6/30/2018
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/15/2009	6/30/2018
Inactive	Principal National Life Insurance Company	301926	Agent - Health	5/7/2019	6/30/2020
Active	Principal National Life Insurance Company	301926	Agent - Life	5/3/2023
Active	Protective Life Insurance Company	300638	Agent - Health	5/24/2021
Active	Protective Life Insurance Company	300638	Agent - Life	5/24/2021
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/12/2007	6/30/2018
Active	Pruco Life Insurance Company	300954	Agent - Life	9/24/2021
Inactive	Prudential Insurance Company of America	300784	Agent - Health	7/19/2007	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	7/19/2007	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/20/2009	2/3/2017
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	5/5/2009	6/30/2018
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	5/5/2009	6/30/2018
Inactive	Standard Insurance Company	300185	Agent - Health	11/19/2001	6/30/2018
Inactive	Standard Insurance Company	300185	Agent - Life	11/19/2001	6/30/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	8/17/2000	8/3/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	8/17/2000	8/3/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	6/28/2019	8/14/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	6/28/2019	8/14/2019
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/31/2000	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/31/2000	9/24/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/4/2003	9/26/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	1/6/2021	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/18/2022	12/22/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/18/2022	12/22/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/28/2011	6/22/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/28/2011	6/22/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/22/2006	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Life	6/2/2003	2/18/2016
Inactive	Aaa Allied Insurance Services Inc	546922	Agent - Health	6/2/2003	2/18/2016
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	2/22/1996	6/21/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	2/22/1996	6/21/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	6/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	6/30/2018
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	6/30/2018
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	6/30/2018