DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rayburn, Timothy Michael	DOIID	768519	NAIC NPN	16256089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/9/2011		10/31/2025
Active	Non Resident	Agent	Life	11/9/2011		10/31/2025
* 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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/23/2024
Active	Athene Annuity and Life Company	301893	Agent - Life	12/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Money Concepts Capital Corp.	399976	Agent - Life
Denied	Money Concepts Capital Corp.	399976	Agent - Health