DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wombolt, George E	DOIID	752693	NAIC NPN	12168554

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/22/2011		2/28/2027
Active	Non Resident	Agent	Property	4/22/2011		2/28/2027
Active	Non Resident	Agent	Life	4/22/2011		2/28/2027
Active	Non Resident	Agent	Casualty	4/22/2011		2/28/2027
* 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	Capitol Indemnity Corporation	301030	Agent - Casualty	11/4/2013	3/28/2018
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	11/4/2013	3/28/2018
Active	Great West Casualty Company	301015	Agent - Casualty	7/24/2013
Active	Great West Casualty Company	301015	Agent - Property	7/24/2013
Inactive	Platte River Insurance Company	301089	Agent - Casualty	11/4/2013	3/28/2018
Inactive	Platte River Insurance Company	301089	Agent - Property	11/4/2013	3/28/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Cline-Wood Agency Inc	590572	Agent - Life
Denied	Cline-Wood Agency Inc	590572	Agent - Health
Inactive	Cline-Wood Agency Inc	590572	Agent - Property	7/24/2013	8/31/2016
Inactive	Cline-Wood Agency Inc	590572	Agent - Casualty	7/24/2013	8/31/2016
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Life
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Health
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	3/29/2016
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	3/29/2016