DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hisch, Timothy Joseph	DOIID	722840	NAIC NPN	1762978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/12/2010	1/31/2014
Inactive	Non Resident	Agent	Casualty	2/12/2010	1/31/2014
* 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	Kentucky National Insurance Company	301625	Agent - Casualty	9/28/2010	2/17/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/28/2010	2/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	9/28/2010	1/10/2012
Inactive	CMI P&C, Inc.	600128	Agent - Property	9/28/2010	1/10/2012