TIMOTHY BLACK

Agent ID:	10677505
National Producer ID:	19069405
Mailing Address:	17717 MASONIC
	FRASER, MI 48026-3158
Resident State:	MI
Phone:	248-886-9604

Agent License

Type	Status	Issue Date	Expiration Date
Insurance Producer	Active	5/4/2020	4/30/2028

Notice: As a result of a data conversion some licenses and qualifications reflect a 10/27/2009 issue date when in fact the license may have been held prior to this date. If you have any questions about the issue date of a license, please contact the Licensing Division of the Mississippi Insurance Department by telephone 601-359-3582 or by email at licensing@mid.ms.gov.

Agent Qualifications

Type	Issue Date
Accident & Health or Sickness	5/4/2020
Life	5/4/2020

Agent Appointments

10 Records Found

License Number	Company Name	Issue Date
1400016	Ambetter of Magnolia Inc.	8/26/2024
7700349	CIGNA Health and Life Insurance Company	1/5/2026
7700089	Celtic Insurance Company	12/18/2024
8900031	Continental Life Insurance Company of Brentwood, Tennessee	12/27/2023
7900050	Golden Rule Insurance Company	10/5/2020
8300077	Humana Insurance Company	12/30/2025
8100114	LifeSecure Insurance Company	3/13/2024
7700318	Loyal American Life Insurance Company	5/11/2023
1700015	Molina Healthcare of Mississippi, Inc.	12/3/2023
7700505	Washington National Insurance Company	4/18/2023