DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Myrtle N	DOIID	316435	NAIC NPN	7163398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	2/20/1986	8/15/2000
Inactive	Resident	Agent	Life	3/3/1992	6/20/2005
Inactive	Resident	Agent	Health	3/3/1992	6/20/2005
Inactive	Resident	Agent	Casualty	8/15/2000	6/20/2005
Inactive	Resident	Agent	Property	8/15/2000	6/20/2005
* 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	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	6/20/2005
Inactive	AIG Assurance Company	300897	Agent - General Lines	9/16/1994	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	6/20/2005
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/5/2000	6/20/2005
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/5/2000	6/20/2005
Inactive	Allstate Insurance Company	300773	Agent - Casualty	1/19/2001	6/20/2005
Inactive	Allstate Insurance Company	300773	Agent - Property	1/19/2001	6/20/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	6/20/2005
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	6/20/2005
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	8/3/1993	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	6/20/2005
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	8/15/2000	9/15/2003
Inactive	American Interstate Insurance Company	301092	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	6/26/2001
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	4/25/1997	3/31/1998
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	6/26/2001
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	11/14/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	11/14/1996	12/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Continental Casualty Company	301019	Agent - General Lines	8/3/1993	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	6/20/2005
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/4/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/11/2001
Inactive	Everlake Life Insurance Company	300873	Agent - Health	9/5/2000	6/20/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/5/2000	6/20/2005
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	9/3/2002
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	2/11/2002
Inactive	Globe American Casualty Company	301033	Agent - General Lines	11/26/1991	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	2/11/2002
Inactive	Grange Insurance Company	300234	Agent - General Lines	5/5/1995	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/5/1995	9/28/2000
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/5/1995	9/28/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	5/20/1992	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	5/20/1992	9/8/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	11/5/1987	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	2/20/1986	8/15/2000
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	11/3/1999	12/27/2000
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	11/3/1999	12/27/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	2/25/1987	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/9/1995	3/31/1996
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	1/26/1993	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2000	3/31/2002
Inactive	Indiana Insurance Company	301909	Agent - General Lines	11/20/1991	8/15/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	8/4/1992	7/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	8/4/1992	7/11/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	6/20/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	6/20/2005
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	12/16/1991	3/31/1996
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	5/22/2000	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	6/20/2005
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	8/3/1993	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	6/20/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	1/27/1992	8/15/2000
Inactive	Omni Insurance Company	301545	Agent - General Lines	7/13/1994	3/31/2000
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	6/26/2001
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	9/15/1987	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	4/5/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	9/15/1987	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	4/5/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	6/26/2001
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	12/3/1999	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	6/26/2001
Inactive	Time Insurance Company	300683	Agent - Health	3/3/1992	12/15/2000
Inactive	Time Insurance Company	300683	Agent - Life	3/3/1992	12/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	8/3/1993	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	6/20/2005
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Transportation Insurance Company	301575	Agent - General Lines	8/3/1993	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	6/20/2005
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	6/26/2001
Inactive	TravCo Insurance Company	301828	Agent - General Lines	12/3/1999	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	6/26/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	12/3/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	6/26/2001
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	6/20/2005
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	6/20/2005
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	2/5/1992	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	6/20/2005
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	6/20/2005
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	8/3/1993	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	6/20/2005
Inactive	Washington National Insurance Company	300587	Agent - Health	11/2/1994	7/12/1999
Inactive	Washington National Insurance Company	300587	Agent - Life	11/2/1994	7/12/1999
Inactive	Westfield Insurance Company	301950	Agent - General Lines	1/27/1992	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	1/27/1992	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Career General Agency Inc.	399050	Agent - General Lines	11/30/1999	8/15/2000
Inactive	Career General Agency Inc.	399050	Agent - Life	11/30/1999	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Health	11/30/1999	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Property	8/15/2000	3/7/2003
Inactive	Career General Agency Inc.	399050	Agent - Casualty	8/15/2000	3/7/2003
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997