DEPARTMENT OF INSURANCE

Name	James, Tim Wilson	DOIID	331235	NAIC NPN	1472639

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	1/23/1992		1/31/2026
Active	Resident	Agent	Life	1/23/1992		1/31/2026
Active	Resident	Agent	Casualty	8/15/2000		1/31/2026
Active	Resident	Agent	Property	8/15/2000		1/31/2026
Inactive	Resident	Agent	General Lines	1/27/1997	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	8/3/1994	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	2/2/2001	3/1/2001

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Mailing	Anthem Blue Cross Blue Shield 1792 Alysheba Way Suite 200Lexington, KY 40509
Business / Home Office	Anthem Blue Cross Blue Shield 1792 Alysheba Way Suite 200Lexington, KY 40509
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(859) 226-5398