DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Colliver, William C	DOIID	355184	NAIC NPN	7193755

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	12/20/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	4/10/2009	8/31/2012
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	4/10/2009	8/31/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/4/2010	2/3/2012
Inactive	Resource Life Insurance Company	300284	Agent - Credit Life & Health	12/20/1997	12/7/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	10/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mann Chrysler- Dodge- Jeep Of Richmond, LLC	593374	Agent - Limited Line Credit	5/13/2009	1/26/2012