DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Colburn, William Douglas	DOIID	344029	NAIC NPN	7188796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	8/29/1995	8/19/1997
Inactive	Resident	Agent	Limited Line Credit	10/19/2001	10/31/2016
Inactive	Resident	Agent	Health	6/14/1988	12/1/2000
Inactive	Resident	Agent	Credit Personal Property & Unemployment	11/12/1996	3/31/1998
Inactive	Resident	Agent	Life	6/14/1988	12/1/2000
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	8/14/1995	10/19/1998
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	8/14/1995	10/19/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/21/1997	12/1/2000
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/21/1997	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	8/25/1988	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/25/1988	12/1/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/28/2002	11/28/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Credit Life & Health	8/29/1995	8/19/1997
Inactive	Security Life Insurance Company of America	300936	Agent - Health	3/11/1997	12/30/1998
Inactive	Security Life Insurance Company of America	300936	Agent - Life	3/11/1997	12/30/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	1/24/2000	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	1/24/2000	12/1/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/19/2001	4/7/2010
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/28/1988	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/28/1988	3/31/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/14/1988	6/29/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/14/1988	6/29/1998
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	11/12/1996	3/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationsbank of Kentucky Inc.	399699	Agent - Credit Life & Health	8/19/1997	8/19/1997
Inactive	Planters Bank Inc	399591	Agent - Limited Line Credit	3/13/2003	10/31/2016