DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blankenship, Tim	DOIID	662415	NAIC NPN	8020726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/23/2007	5/31/2013
Inactive	Non Resident	Agent	Life	8/23/2007	5/31/2013
* 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	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2011	10/11/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2011	10/11/2011
Inactive	Humana Insurance Company	301104	Agent - Health	8/1/2011	10/11/2011
Inactive	Humana Insurance Company	301104	Agent - Life	8/1/2011	10/11/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2011	10/11/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2011	10/11/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/5/2012	5/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/5/2012	5/23/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/21/2007	5/31/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/29/2009	11/10/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/29/2009	11/10/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/29/2009	11/10/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/29/2009	11/10/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Global Contact Services	546831	Agent - Life
Inactive	Global Contact Services	546831	Agent - Health	1/31/2012	5/31/2013
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	12/8/2008	3/11/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	12/8/2008	3/13/2009