DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collum, Max H	DOIID	326988	NAIC NPN	2488191

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/31/1998	8/10/2004
Inactive	Non Resident	Agent	Health	12/31/1998	8/10/2004
* 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	Mutual of Omaha Insurance Company	301012	Agent - Health	12/31/1998	6/1/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/31/1998	6/1/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/31/1998	6/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Life	6/10/2002	6/1/2004
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Health	6/10/2002	6/1/2004