DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gandy, Timothy	DOIID	752192	NAIC NPN	2522864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/15/2011	7/2/2012
Inactive	Non Resident	Agent	Health	4/15/2011	7/2/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	5/16/2012	7/2/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/16/2012	7/2/2012
Inactive	Humana Insurance Company	301104	Agent - Health	5/16/2012	7/2/2012
Inactive	Humana Insurance Company	301104	Agent - Life	5/16/2012	7/2/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/16/2012	7/2/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/16/2012	7/2/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/22/2011	7/2/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/22/2011	7/2/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/22/2011	7/2/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/22/2011	7/2/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	4/22/2011	7/2/2012
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	4/22/2011	7/2/2012