DEPARTMENT OF INSURANCE

Affiliations

Name	Tierney, Kevin S	DOIID	933987	NAIC NPN	3295761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/19/2016	3/3/2020
Inactive	Non Resident	Agent	Health	10/19/2016	3/3/2020
* 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	American General Life Insurance Company	301585	Agent - Health	8/17/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	8/17/2017	12/23/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/12/2017	7/5/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/12/2017	7/5/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/21/2016	3/5/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/21/2016	3/5/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/9/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/9/2018	7/18/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/25/2017	6/8/2018
Inactive	Federal Insurance Company	301144	Agent - Health	5/31/2017	3/3/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/25/2016	3/3/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/25/2016	3/3/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/25/2017	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/23/2017	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	1/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	1/25/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/23/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/23/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/25/2017	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/23/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/23/2017	12/8/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/31/2016	1/2/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	10/15/2018	4/22/2020
Inactive	Reserve National Insurance Company	301073	Agent - Life	10/15/2018	4/22/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	11/13/2016	12/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/13/2017	7/3/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/13/2017	7/3/2017