DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Colton, Timothy M	DOIID	629175	NAIC NPN	501829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/29/2018		8/31/2025
Active	Non Resident	Agent	Health	8/29/2018		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/23/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/23/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	3/23/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/9/2009	6/26/2012
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/9/2009	6/26/2012
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/23/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/23/2022
Active	Unum Insurance Company	301499	Agent - Health	3/23/2022
Active	Unum Insurance Company	301499	Agent - Life	3/23/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/29/2022
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/29/2022