DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins Senior Insurance LLC	DOIID	1117634	NAIC NPN	19539036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/7/2023		3/31/2027
Active	Non Resident	Agent	Health	7/7/2023		3/31/2027
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/15/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	4/3/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/5/2024
Active	Humana Insurance Company	301104	Agent - Health	4/3/2025
Active	Medico Insurance Company	301559	Agent - Health	12/7/2023
Active	Medico Insurance Company	301559	Agent - Life	12/7/2023
Active	Tier One Insurance Company	301056	Agent - Life	3/13/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/12/2023	3/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/12/2023	3/31/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/6/2021	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/6/2021	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Collins, Douglas E	700742	Agent - Health	7/7/2023
Active	Collins, Douglas E	700742	Agent - Life	7/7/2023