DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Collette Veronica	DOIID	1069872	NAIC NPN	16488414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/7/2020	6/30/2022
Inactive	Non Resident	Agent	Health	1/7/2020	6/30/2022
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	6/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/24/2020	6/30/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	3/24/2020	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/4/2020	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/4/2020	8/11/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/24/2020	6/30/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/3/2020	10/20/2020
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/21/2020	6/30/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/21/2020	6/30/2022
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	1/8/2020	11/22/2021
Inactive	Humana Insurance Company	301104	Agent - Health	4/14/2020	10/20/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	1/30/2020	10/26/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/7/2020	8/4/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/7/2020	8/4/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/7/2020	8/4/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/7/2020	8/4/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/3/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2020	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	3/24/2020	6/7/2020
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	2/26/2020	6/7/2020
Inactive	Walmart Insurance Services LLC	1087685	Agent - Health	7/31/2020	8/13/2021