DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Robert Edward	DOIID	313581	NAIC NPN	383951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/5/1995	12/19/2005
Inactive	Resident	Agent	Health	6/5/1995	12/19/2005
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/9/1998	4/7/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/9/1998	4/7/1999
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	9/14/2004	12/19/2005
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	9/15/2004	12/19/2005
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	8/30/2004	12/19/2005
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/30/2004	12/19/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	12/9/1998	6/30/1999
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/9/1998	6/30/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/31/2000	12/19/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/31/2000	12/19/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	2/11/2000	12/19/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	2/11/2000	12/19/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	10/14/1997	12/19/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/14/1997	12/19/2005
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/25/1997	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/25/1997	3/31/2001
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Health	6/5/1995	10/19/1999
Inactive	Nationwide Life Insurance Company of America	301134	Agent - Life	6/5/1995	10/19/1999
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Health	9/13/1995	11/22/1999
Inactive	Nationwide Life and Annuity Company of America	300172	Agent - Life	9/13/1995	11/22/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	11/8/2000	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	11/8/2000	1/2/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/13/1996	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/13/1996	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Resources Inc.	401015	Agent - Life	5/27/2004	12/19/2005
Inactive	Corporate Resources Inc.	401015	Agent - Health	5/27/2004	12/19/2005
Inactive	Kentucky Financial Group Inc.	400432	Agent - Life	8/21/1995	2/14/2003
Inactive	Kentucky Financial Group Inc.	400432	Agent - Health	8/21/1995	2/14/2003