DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hillert, Timothy M	DOIID	1000491	NAIC NPN	15161733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/9/2018	4/30/2021
Inactive	Non Resident	Agent	Life	7/9/2018	4/30/2021
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/5/2018	8/4/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/5/2018	8/4/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/19/2018	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/19/2018	12/10/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/20/2018	4/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benexchange Financial Group Corp	964704	Agent - Life	7/16/2018	3/31/2021
Inactive	Benexchange Financial Group Corp	964704	Agent - Health	7/16/2018	3/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/19/2018	12/10/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/19/2018	12/14/2020