DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kutsch, Timothy Richard	DOIID	973884	NAIC NPN	16508125

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/23/2017	11/30/2019
Inactive	Non Resident	Agent	Life	10/23/2017	11/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/30/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/30/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/30/2018	11/30/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/6/2019	11/30/2019
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/6/2019	11/30/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018	11/30/2019
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/30/2018	11/30/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/15/2019	11/30/2019
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/29/2019	11/30/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/26/2017	11/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Futurity First Insurance Group LLC	676947	Agent - Life	6/11/2019	1/10/2020
Inactive	Futurity First Insurance Group LLC	676947	Agent - Health	6/11/2019	1/10/2020