DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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