DEPARTMENT OF INSURANCE

Affiliations

Name	Colburn, Harry S	DOIID	314475	NAIC NPN	541461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/16/2012	1/31/2024
Inactive	Non Resident	Agent	Property	8/15/2000	1/31/2024
Inactive	Non Resident	Agent	General Lines	4/7/1994	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	1/31/2024
Inactive	Non Resident	Agent	Life	8/16/2012	1/31/2024
* 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	AIG Property Casualty Company	300621	Agent - Casualty	6/5/2019	1/31/2024
Inactive	AIG Property Casualty Company	300621	Agent - Property	6/5/2019	1/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/22/2015	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/22/2015	11/2/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/11/2012	11/9/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/11/2012	11/9/2015
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	2/6/2020
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	8/5/1998	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	2/6/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/11/2012	1/31/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/11/2012	1/31/2024
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/18/2002	3/28/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/18/2002	3/28/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	2/18/2002	3/28/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	2/18/2002	3/28/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/28/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	4/7/1994	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/28/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	2/18/2002	3/28/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	2/18/2002	3/28/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/18/2002	3/28/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/18/2002	3/28/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/29/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/29/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/29/2014	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/29/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/29/2014	10/22/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/24/2003	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/24/2003	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/18/2002	3/28/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/18/2002	3/28/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colburn Corporation The	788743	Agent - Property	8/16/2012	3/31/2022
Inactive	Colburn Corporation The	788743	Agent - Casualty	8/16/2012	3/31/2022
Inactive	Colburn Corporation The	788743	Agent - Life	8/16/2012	3/31/2022
Inactive	Colburn Corporation The	788743	Agent - Health	8/16/2012	3/31/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/22/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/22/2015	11/2/2016