DEPARTMENT OF INSURANCE

Affiliations

Name	Korn, Timothy C	DOIID	935404	NAIC NPN	18172337

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/31/2016	1/31/2019
Inactive	Non Resident	Agent	Property	10/31/2016	1/31/2019
* 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	Consolidated Insurance Company	300943	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/9/2016	8/24/2017
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	11/9/2016	8/24/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/9/2016	8/24/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/9/2016	8/24/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	11/9/2016	8/24/2017
Inactive	LM Insurance Corporation	301061	Agent - Casualty	11/9/2016	8/24/2017
Inactive	LM Insurance Corporation	301061	Agent - Property	11/9/2016	8/24/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Property	11/9/2016	8/24/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/9/2016	8/24/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/9/2016	8/24/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/9/2016	8/24/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/9/2016	8/24/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	11/9/2016	8/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	11/9/2016	8/23/2017
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	11/9/2016	8/23/2017