DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Timeless Security Inc	DOIID	598526	NAIC NPN	8307357

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/8/2016	3/31/2024
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	8/1/2016	8/25/2020
Inactive	Forethought Life Insurance Company	301407	Agent - Life	6/14/2005	3/31/2016
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/23/2005	6/28/2007
Inactive	Southland National Insurance Corporation	517954	Agent - Life	4/5/2005	2/11/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branham, Brenda L	352919	Agent - Life	11/22/2004	3/31/2016
Inactive	Crawford, Tonya Gail	543133	Agent - Life	11/22/2004	1/17/2007
Inactive	Schur, Shannon J	311403	Agent - Life	6/8/2016	3/31/2024