DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilborn, Timothy J	DOIID	750630	NAIC NPN	10106988

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/24/2024		10/31/2025
Active	Non Resident	Agent	Health	1/24/2024		10/31/2025
Inactive	Non Resident	Agent	Casualty	3/24/2011	10/31/2023
Inactive	Non Resident	Agent	Property	3/24/2011	10/31/2023
* 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 Republic Insurance Company	300861	Agent - Health	1/29/2024	3/15/2024
Inactive	American Republic Insurance Company	300861	Agent - Life	1/29/2024	3/15/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/24/2024	4/2/2024
Inactive	Continental American Insurance Company	301700	Agent - Health	11/30/2017	10/31/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	11/30/2017	10/31/2023
Inactive	National Casualty Company	301483	Agent - Casualty	1/25/2018	10/31/2023
Inactive	National Casualty Company	301483	Agent - Property	1/25/2018	10/31/2023
Inactive	Protective Insurance Company	301117	Agent - Casualty	5/23/2011	12/8/2017
Inactive	Protective Insurance Company	301117	Agent - Health	5/23/2011	9/23/2015
Inactive	Protective Insurance Company	301117	Agent - Property	5/23/2011	12/8/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/24/2024	4/2/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/24/2024	4/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	2/21/2018	1/13/2021
Inactive	DVM Insurance Agency	636779	Agent - Casualty	2/21/2018	1/13/2021
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/15/2019	10/31/2023
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/15/2019	10/31/2023
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/15/2019	10/31/2023
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/15/2019	10/31/2023
Inactive	Seabury & Smith Inc	394854	Agent - Health	7/21/2011	9/23/2015
Inactive	Seabury & Smith Inc	394854	Agent - Property	7/21/2011	8/18/2016
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	7/21/2011	8/18/2016