DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Jason Todd	DOIID	322360	NAIC NPN	7168811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/3/1998	7/29/1998
Inactive	Resident	Agent	General Lines	3/3/1998	9/8/1998
Inactive	Resident	Agent	Life	3/3/1998	7/29/1998
* 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	Dairyland Insurance Company	301370	Agent - General Lines	4/14/1998	9/8/1998
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	3/13/1998	7/29/1998
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	3/3/1998	7/29/1998
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	3/3/1998	7/29/1998
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	3/3/1998	7/29/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	3/23/1998	7/27/1998
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	3/23/1998	7/27/1998