DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moss, Timothy Andrew	DOIID	944259	NAIC NPN	16930277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/8/2017	6/8/2023
Inactive	Non Resident	Agent	Health	2/8/2017	6/8/2023
* 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	6/30/2022	6/8/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2022	6/8/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/12/2017	12/6/2018
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	3/12/2017	12/6/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/20/2017	6/8/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	3/6/2018	5/14/2019
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	3/6/2018	5/14/2019
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/17/2017	9/25/2021
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/17/2017	9/25/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/4/2019	6/8/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/28/2021	5/19/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/28/2021	5/19/2023
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/8/2019	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/8/2019	10/1/2020
Inactive	United Home Life Insurance Company	300421	Agent - Life	5/8/2022	5/25/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2021	1/10/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2021	1/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	3/12/2017	6/13/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/9/2020	4/22/2022