DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fiedler, Timothy S	DOIID	629310	NAIC NPN	8748575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/16/2010	2/28/2014
Inactive	Non Resident	Agent	Life	6/16/2010	2/28/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2010	2/28/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/18/2010	2/28/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/18/2010	2/28/2014
Inactive	American Fidelity Assurance Company	301004	Agent - Health	5/3/2006	12/3/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Life	5/3/2006	12/3/2007
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/10/2006	1/22/2008
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/10/2006	1/22/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/2/2010	2/28/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/2/2010	2/28/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/2/2010	2/28/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/2/2010	2/28/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boon Ins Agency Inc	520756	Agent - Life	12/13/2010	2/28/2014
Inactive	Boon Ins Agency Inc	520756	Agent - Health	12/13/2010	2/28/2014