DEPARTMENT OF INSURANCE
Affiliations
NameSiewert, Timothy PatrickDOIID624756NAIC NPN8645492
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/7/20062/25/2012 
InactiveNon ResidentAgentHealth1/26/20062/25/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Assurance Company300586Agent - Health12/9/20082/25/2012
InactiveAmerican General Assurance Company300586Agent - Life12/9/20082/25/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health12/9/20082/25/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life12/9/20082/25/2012
InactiveGuarantee Trust Life Insurance Company301043Agent - Health11/9/20091/3/2011
InactiveGuarantee Trust Life Insurance Company301043Agent - Life11/9/20091/3/2011
InactiveLife Insurance Company of North America300711Agent - Health11/19/20092/25/2012
InactiveLife Insurance Company of North America300711Agent - Life11/19/20092/25/2012
InactiveMedico Insurance Company301559Agent - Health10/25/201010/19/2011
InactiveMedico Insurance Company301559Agent - Life10/25/201010/19/2011
InactiveTime Insurance Company300683Agent - Health2/7/20062/25/2012
InactiveTime Insurance Company300683Agent - Life2/7/20062/25/2012
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health12/9/20082/25/2012
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life12/9/20082/25/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCorpsavers Ins Agency Inc625545Agent - Health5/20/20112/15/2012
InactiveCorpsavers Ins Agency Inc625545Agent - Life5/20/20112/15/2012
InactiveThe National Better Living Association Inc692190Agent - Health11/18/200812/9/2011

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