DEPARTMENT OF INSURANCE

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		2/28/2025
Active	Non Resident	Agent	Property	4/22/2011		2/28/2025
Active	Non Resident	Agent	Life	4/22/2011		2/28/2025
Active	Non Resident	Agent	Casualty	4/22/2011		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	12/15/2024	02/28/2025

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