DEPARTMENT OF INSURANCE

Affiliations

Name	Timberlake, Patricia Mary	DOIID	674625	NAIC NPN	8667913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/18/2013	6/30/2015
Inactive	Non Resident	Agent	Life	10/18/2013	6/30/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/9/2013	6/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/9/2013	6/30/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/9/2013	6/30/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/29/2013	2/11/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/29/2013	2/11/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2013	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/13/2008	6/30/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2013	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/7/2013	5/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/7/2013	5/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2008	6/30/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/31/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2013	12/5/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/1/2008	6/30/2009
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/8/2008	6/30/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	10/31/2008	6/30/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/31/2008	6/30/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2008	6/30/2009

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	10/29/2013	2/11/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/29/2013	2/11/2014
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	10/15/2008	6/30/2009