DEPARTMENT OF INSURANCE

Affiliations

Name	Bill Collins Ford, Inc	DOIID	400621	NAIC NPN	7222542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	11/5/1992	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	7/30/2010	4/1/2014
* 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 National Insurance Company	301861	Agent - Limited Line Credit	7/30/2010	1/20/2014
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	11/5/1992	7/1/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	7/1/1996	2/3/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/21/1997	10/27/1999
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	10/27/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chastain, Walter R	367657	Agent - Credit Life & Health	8/21/1997	8/7/2000
Inactive	Chastain, Walter R	367657	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Cohen, Larry A	324348	Agent - Credit Life & Health	10/27/1999	8/7/2000
Inactive	Cohen, Larry A	324348	Agent - Limited Line Credit	7/30/2010	1/31/2014
Inactive	Coulson, Kenneth Ray	595891	Agent - Limited Line Credit	7/30/2010	7/31/2013
Inactive	Dages, Patrick E	347062	Agent - Credit Life & Health	10/27/1999	8/7/2000
Inactive	Dages, Patrick E	347062	Agent - Limited Line Credit	8/7/2000	9/29/2003
Inactive	Dauenhauer, Tobi Jay	328141	Agent - Credit Life & Health	7/1/1996	9/26/1996
Inactive	Johnson, Samantha C	319334	Agent - Credit Life & Health	8/21/1997	8/7/2000
Inactive	Johnson, Samantha C	319334	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Meaux, Causten Emmons	392949	Agent - Credit Life & Health	8/21/1997	8/7/2000
Inactive	Meaux, Causten Emmons	392949	Agent - Limited Line Credit	8/7/2000	10/22/2001
Inactive	Oller-Hess, Deborah A	325564	Agent - Credit Life & Health	8/21/1997	8/7/2000
Inactive	Oller-Hess, Deborah A	325564	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Thompson, Derek C	343016	Agent - Credit Life & Health	10/27/1999	8/7/2000
Inactive	Thompson, Derek C	343016	Agent - Limited Line Credit	8/7/2000	9/29/2003
Inactive	Toborousky, Murray	342947	Agent - Credit Life & Health	8/21/1997	8/7/2000
Inactive	Toborousky, Murray	342947	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Utterback, Thomas H	391704	Agent - Credit Life & Health	10/27/1999	8/7/2000
Inactive	Utterback, Thomas H	391704	Agent - Limited Line Credit	8/7/2000	9/29/2003
Inactive	Venant, Jean Bernard	355807	Agent - Credit Life & Health	8/21/1997	3/14/1998
Inactive	Wooley, Barry E	385804	Agent - Credit Life & Health	9/26/1995	7/1/1996