DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gilliam III, Wilbur C	DOIID	393502	NAIC NPN	293838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/2/1988	1/16/2002
Inactive	Resident	Agent	Health Maintenance Organization	7/27/1989	3/1/2001
Inactive	Resident	Agent	Health	2/2/1988	7/31/2005
* 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	Augustar Life Assurance Corporation	301113	Agent - Health	2/2/1988	3/31/1997
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	2/2/1988	3/31/1997
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	7/31/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/27/1989	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/28/1989	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/1989	3/2/1999
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/17/1988	8/29/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/17/1988	8/29/1996
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/14/1988	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/14/1988	9/5/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	1/16/2002
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004