DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Bradford J	DOIID	321724	NAIC NPN	314362

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/5/1987	6/30/2021
Inactive	Non Resident	Agent	Life	3/5/1987	6/30/2021
* 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 Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/9/2011	3/26/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/9/2011	3/26/2018
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	10/1/2001	4/27/2006
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	10/1/2001	4/27/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	3/5/1987	8/20/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	3/5/1987	8/20/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/26/2009	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/26/2009	4/25/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/23/1989	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/23/1989	3/31/1997
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	10/9/1997	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	10/9/1997	6/25/2008
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Health	8/16/2001	6/30/2021
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	8/16/2001	6/30/2021
Inactive	Transamerica Assurance Company	300893	Agent - Health	8/13/2003	10/1/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	8/13/2003	10/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/17/2004	8/4/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/17/2004	8/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Life	7/7/2003	3/31/2021
Inactive	The Farmington Company	534046	Agent - Health	7/7/2003	3/31/2021