DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins Buick Inc.	DOIID	400071	NAIC NPN	7222141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	11/5/1992	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2003
* 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	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	11/5/1992	7/10/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/15/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	7/10/1996	5/15/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Phillip O	353693	Agent - Credit Life & Health	5/15/1997	8/7/2000
Inactive	Brown, Phillip O	353693	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Eckhoff, Brenda Lee	358512	Agent - Credit Life & Health	11/5/1992	7/10/1996
Inactive	Mills, Lloyd B	341918	Agent - Credit Life & Health	5/15/1997	5/15/1997
Inactive	Mills, Lloyd B	341918	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Toborousky, Murray	342947	Agent - Credit Life & Health	11/5/1992	6/21/1996