DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kollmeier, Dwight L	DOIID	308190	NAIC NPN	1486836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/12/2018	6/30/2020
Inactive	Resident	Agent	Property	9/12/2018	6/30/2020
Inactive	Non Resident	Agent	Limited Line Credit	10/30/2002	6/30/2010
Inactive	Resident	Agent	Casualty	9/12/2018	6/30/2020
Inactive	Resident	Agent	Health	9/12/2018	6/30/2020
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/30/2002	6/30/2010
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/30/2002	6/30/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	6/8/2004	11/28/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	6/8/2004	11/28/2006
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/30/2002	6/30/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/30/2002	6/30/2010
Inactive	American Modern Life Insurance Company	301606	Agent - Limited Line Credit	10/30/2002	6/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/14/1995	6/30/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/14/1995	6/30/2010
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/10/1995	3/31/1997
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/10/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	9/12/1995	1/27/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	9/12/1995	1/27/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/6/2004	10/10/2006
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	3/7/1995	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/7/1995	3/31/1997
Inactive	United Wisconsin Insurance Company	301103	Agent - Health	6/20/1995	7/20/2000
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/20/1995	2/26/2001
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/20/1995	2/26/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Financial Services of Cincinnati Inc.	398695	Agent - Life	12/14/1995	5/31/2005
Inactive	Acordia Financial Services of Cincinnati Inc.	398695	Agent - Health	12/14/1995	5/31/2005
Denied	Huntington Insurance Inc	515749	Agent - Life
Denied	Huntington Insurance Inc	515749	Agent - Health
Denied	Huntington Insurance Inc	515749	Agent - Casualty
Denied	Huntington Insurance Inc	515749	Agent - Property
Inactive	Provident Insurance Agency Inc	502290	Agent - Casualty	12/10/2002	3/3/2006
Inactive	Provident Insurance Agency Inc	502290	Agent - Property	12/10/2002	3/3/2006