DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Timothy	DOIID	635661	NAIC NPN	7332723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/13/2006	3/4/2015
Inactive	Non Resident	Agent	Health	7/13/2006	3/4/2015
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	10/12/2011	12/22/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/12/2011	12/22/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	3/8/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	3/8/2010	6/11/2014
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	3/8/2010	1/3/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	3/8/2010	1/3/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/12/2011	12/22/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/12/2011	12/22/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/16/2010	9/22/2011
Inactive	Humana Insurance Company	301104	Agent - Health	12/16/2010	9/22/2011
Inactive	Humana Insurance Company	301104	Agent - Life	12/16/2010	9/22/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/16/2010	9/22/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/16/2010	9/22/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/16/2010	9/22/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/16/2010	9/22/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/16/2010	9/22/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/16/2010	9/22/2011
Inactive	Life Insurance Company of North America	300711	Agent - Health	3/8/2010	3/4/2015
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/8/2010	3/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/30/2007	3/4/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/30/2007	3/4/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	1/16/2012	3/4/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	1/16/2012	3/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/30/2007	3/4/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/30/2007	3/4/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/28/2007	3/4/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/28/2007	3/4/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/28/2007	3/4/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/28/2007	3/4/2015

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	12/6/2013	3/4/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	3/4/2015
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	10/30/2007	11/15/2012
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	10/30/2007	11/15/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	11/5/2012	5/22/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	11/5/2012	5/22/2014
Inactive	USI Midwest LLC	517736	Agent - Health	6/5/2014	2/18/2015
Inactive	USI Midwest LLC	517736	Agent - Life	6/5/2014	2/18/2015