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DEPARTMENT OF INSURANCE
Affiliations
Name
Fazzone, Timothy J
DOIID
540498
NAIC NPN
2341598
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
7/1/2022
2/29/2024
Inactive
Non Resident
Agent
Life
7/1/2022
2/29/2024
* 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
American General Life Insurance Company
301585
Agent - Health
9/8/2005
5/6/2009
Inactive
American National Insurance Company
301861
Agent - Health
3/29/2004
2/29/2012
Inactive
American National Insurance Company
301861
Agent - Life
1/8/2009
2/29/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/24/2007
10/4/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/24/2007
10/4/2009
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
3/1/2006
2/29/2012
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
3/1/2006
2/29/2012
Inactive
National Western Life Insurance Company
301515
Agent - Health
3/31/2004
9/2/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/14/2022
9/30/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/14/2022
9/30/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/14/2022
9/30/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/14/2022
9/30/2022
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
4/5/2004
3/31/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Annuity Marketing Group LLC
587837
Agent - Health
4/14/2004
11/26/2008
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