DEPARTMENT OF INSURANCE

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	Health	8/27/2010		7/31/2025
Active	Non Resident	Agent	Life	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.

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
Active	Augustar Life Assurance Corporation	301113	Agent - Life	1/26/2021
Active	Augustar Life Insurance Company	301816	Agent - Life	1/26/2021
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