DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Ronald L	DOIID	359184	NAIC NPN	555148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/8/1999	9/30/2005
Inactive	Non Resident	Agent	Health	9/8/1999	9/30/2005
Inactive	Non Resident	Agent	Health Maintenance Organization	9/8/1999	3/1/2001
* 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	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	9/30/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/30/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/8/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	9/8/1999	9/30/2005
Inactive	Humana Insurance Company	301104	Agent - Life	9/8/1999	9/30/2005
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	9/30/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/20/2004	9/30/2005
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/20/2004	9/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Palmer & Cay of Georgia, LLC	549844	Agent - Life	2/24/2003	9/30/2005
Inactive	Palmer & Cay of Georgia, LLC	549844	Agent - Health	2/24/2003	9/30/2005