DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sherman, Timothy Laszlo	DOIID	986837	NAIC NPN	16492566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/7/2018	3/16/2022
Inactive	Non Resident	Agent	Life	3/7/2018	3/16/2022
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	11/28/2018	4/20/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/28/2018	4/20/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/21/2018	5/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Mylo LLC	973654	Agent - Life
Denied	Mylo LLC	973654	Agent - Health