DEPARTMENT OF INSURANCE

Affiliations

Name	Tillman, David	DOIID	1206485	NAIC NPN	20312421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2025		2/28/2027
Inactive	Non Resident	Agent	Casualty	5/23/2022	2/28/2025
Inactive	Non Resident	Agent	Property	5/23/2022	2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/4/2025	6/1/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/4/2025	6/1/2026
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	12/27/2022	4/25/2024
Inactive	Allstate Indemnity Company	300778	Agent - Property	12/27/2022	4/25/2024
Inactive	Allstate Insurance Company	300773	Agent - Casualty	12/27/2022	4/25/2024
Inactive	Allstate Insurance Company	300773	Agent - Property	12/27/2022	4/25/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	12/27/2022	4/25/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	12/27/2022	4/25/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	12/27/2022	4/25/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	12/27/2022	4/25/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2022	4/11/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/7/2022	4/11/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/21/2025	4/7/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2022	4/11/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2022	4/11/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/19/2025	3/2/2026
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/10/2022	4/8/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/10/2022	4/8/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/10/2022	4/8/2024
Inactive	Grange Insurance Company	300234	Agent - Property	6/10/2022	4/8/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/10/2022	4/8/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/10/2022	4/8/2024
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	12/10/2022	1/24/2025
Inactive	Integon Indemnity Corporation	300674	Agent - Property	12/10/2022	1/24/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/23/2025	5/20/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/4/2025	6/1/2026
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/10/2022	4/8/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/10/2022	4/8/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/21/2025	4/7/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/21/2025	4/7/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	12/7/2022	4/8/2024
Inactive	Insurance Answer Center LLC	694353	Agent - Property	12/7/2022	4/8/2024