DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nill, Colleen Rose	DOIID	524950	NAIC NPN	7217367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/9/2001	11/1/2009
Inactive	Resident	Agent	Health	7/9/2001	11/1/2009
* 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	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	10/26/2007
Denied	MetLife Investors Insurance Company	301872	Agent - Health
Denied	MetLife Investors Insurance Company	301872	Agent - Life
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	4/30/2007	11/1/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/30/2007	11/1/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/30/2003	12/16/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/5/2001	10/26/2007
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/5/2001	10/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	9/5/2008
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	2/27/2007	9/5/2008
Denied	Fifth Third Securities, Inc.	589385	Agent - Life
Denied	Fifth Third Securities, Inc.	589385	Agent - Health