DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Merchant, Timothy C	DOIID	735627	NAIC NPN	1507211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/27/2010		7/31/2025
Active	Non Resident	Agent	Health	8/27/2010		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/10/2023
Active	American General Life Insurance Company	301585	Agent - Health	8/27/2021
Active	American General Life Insurance Company	301585	Agent - Life	8/27/2021
Active	American United Life Insurance Company	300498	Agent - Health	4/4/2021
Active	American United Life Insurance Company	300498	Agent - Life	4/4/2021
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	1/26/2021	12/25/2024
Inactive	Augustar Life Insurance Company	301816	Agent - Life	1/26/2021	12/25/2024
Active	Jackson National Life Insurance Company	300486	Agent - Life	5/30/2023
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	4/9/2013	5/25/2018
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	9/27/2010	4/6/2017
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	7/22/2020	12/28/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Life	5/21/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Securities America Inc.	400225	Agent - Health
Inactive	Securities America Inc.	400225	Agent - Life	5/22/2018	8/29/2024
Active	TBS Agency, Inc.	502294	Agent - Health	5/31/2023
Active	TBS Agency, Inc.	502294	Agent - Life	5/31/2023