DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rickard, Timothy James	DOIID	670550	NAIC NPN	5062402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/14/2007	7/31/2013
Inactive	Non Resident	Agent	Health	12/14/2007	7/31/2013
* 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	Aetna Life Insurance Company	301140	Agent - Health	11/5/2008	5/26/2009
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/5/2008	5/26/2009
Inactive	American Continental Insurance Company	643130	Agent - Health	10/15/2008	5/12/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	10/15/2008	5/12/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2008	7/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/24/2008	7/31/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/27/2008	9/9/2009
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	12/28/2007	3/31/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/29/2008	9/9/2009
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	7/20/2011	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	7/20/2011	9/13/2012
Inactive	SILAC Insurance Company	300535	Agent - Health	6/2/2009	1/3/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Health	3/28/2008	7/31/2013
Inactive	Haberstroh Insurance Agency Inc	677010	Agent - Life	3/28/2008	7/31/2013