DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Annette Collard	DOIID	385503	NAIC NPN	7206991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/3/1993	7/1/1996
Inactive	Resident	Agent	Health	6/3/1993	7/1/1996
Inactive	Resident	Agent	General Lines	2/3/1989	7/1/1996
* 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	Continental Insurance Company (The)	301242	Agent - General Lines	2/3/1989	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/3/1993	7/1/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/3/1993	7/1/1996
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	3/20/1989	3/31/1996
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	3/20/1989	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	7/1/1996
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	7/1/1996
Inactive	Breckinridge Ins Inc.	400994	Agent - General Lines	8/24/1993	7/1/1996
Inactive	Breckinridge Ins Inc.	400994	Agent - Life	8/24/1993	7/1/1996
Inactive	Breckinridge Ins Inc.	400994	Agent - Health	8/24/1993	7/1/1996