DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Komis, Tim R	DOIID	689704	NAIC NPN	6949090

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2008	6/30/2015
Inactive	Non Resident	Agent	Life	9/22/2008	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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/29/2008	3/4/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/29/2008	3/4/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/15/2010	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/15/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	11/15/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	11/15/2010	12/7/2012
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	7/28/2010	1/25/2012
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	7/28/2010	1/25/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	7/23/2013	1/16/2014
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/3/2011	12/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/3/2011	12/23/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gameplan Financial Marketing LLC	647159	Agent - Life	11/25/2008	11/7/2013
Inactive	Gameplan Financial Marketing LLC	647159	Agent - Health	11/25/2008	11/7/2013