DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Crick, Timothy Justin	DOIID	625324	NAIC NPN	8707409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	5/20/2015	3/31/2018
Inactive	Resident	Agent	Property	1/12/2015	4/1/2016
Inactive	Resident	Agent	Health	1/23/2015	4/1/2016
Inactive	Resident	Agent	Casualty	1/12/2015	4/1/2016
Inactive	Resident	Agent	Life	2/2/2015	4/1/2016
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	5/23/2015	6/2/2016
Inactive	American Reliable Insurance Company	301889	Agent - Limited Line Credit	5/23/2015	6/2/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/17/2016	11/20/2017
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	12/29/2008	3/31/2010
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	2/2/2006	3/31/2008
Inactive	Minnesota Life Insurance Company	300488	Agent - Limited Line Credit	4/25/2016	11/2/2016
Inactive	Securian Casualty Company	642441	Agent - Limited Line Credit	4/25/2016	11/15/2017
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	2/2/2006	3/31/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/3/2015	11/6/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/3/2015	11/6/2015
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/3/2015	11/6/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/3/2015	11/6/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/3/2015	11/6/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	People's Security Finance Co Inc 2	533449	Agent - Limited Line Credit	1/30/2009	3/31/2010
Inactive	Regency Finance Co	741965	Agent - Limited Line Credit	5/23/2015	11/3/2017
Inactive	Regency Finance Co	741965	Agent - Life	5/21/2015	4/1/2016
Inactive	Regency Finance Co	741965	Agent - Property	5/21/2015	4/1/2016
Inactive	Regency Finance Co	741965	Agent - Health	5/21/2015	4/1/2016