DEPARTMENT OF INSURANCE

Affiliations

Name	Klatt, Timothy Robert	DOIID	617561	NAIC NPN	8614425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/30/2007	3/24/2015
Inactive	Non Resident	Agent	Life	8/30/2007	3/24/2015
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/26/2010	3/4/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/26/2010	3/4/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	12/5/2013	11/14/2014
Inactive	American General Life Insurance Company	301585	Agent - Life	12/5/2013	11/14/2014
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	8/30/2007	3/11/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	8/30/2007	3/11/2011
Inactive	American Income Life Insurance Company	300256	Agent - Health	11/2/2009	2/17/2010
Inactive	American Income Life Insurance Company	300256	Agent - Life	11/2/2009	2/17/2010
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	9/10/2013	3/24/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/20/2014	3/24/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/20/2014	3/24/2015
Inactive	Continental American Insurance Company	301700	Agent - Health	4/26/2010	5/4/2012
Inactive	Continental American Insurance Company	301700	Agent - Life	4/26/2010	5/4/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/10/2009	8/20/2012
Inactive	Everly Life Insurance Company	561641	Agent - Life	8/22/2013	2/28/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/19/2010	3/24/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/4/2009	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/4/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/4/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/4/2009	12/7/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/10/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/10/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/10/2009	8/20/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	11/22/2013	3/24/2015
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	9/5/2013	3/24/2015
Inactive	Reserve National Insurance Company	301073	Agent - Health	8/26/2013	3/24/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/26/2013	3/24/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/13/2011	3/24/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/13/2011	3/24/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/3/2011	3/24/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/3/2011	3/24/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	4/6/2010	3/24/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	4/6/2010	3/24/2015
Inactive	United Home Life Insurance Company	300421	Agent - Life	9/3/2013	12/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	3/24/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	3/24/2015
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	6/2/2009	11/11/2009
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	6/2/2009	11/11/2009