DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collom, Ken A	DOIID	598312	NAIC NPN	8071938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/14/2004	5/25/2006
Inactive	Non Resident	Agent	Life	11/14/2004	5/25/2006
Inactive	Non Resident	Agent	Casualty	11/14/2004	5/25/2006
* 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	Bankers Fidelity Assurance Company	554627	Agent - Life	12/1/2005	5/25/2006
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Casualty	12/1/2005	5/25/2006
Inactive	Direct General Insurance Company of Mississippi	552453	Agent - Property	12/1/2005	5/25/2006
Inactive	Direct General Life Insurance Company	301045	Agent - Life	12/1/2005	5/25/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Right Choice Ins Agency Inc	620070	Agent - Life	12/13/2005	5/25/2006
Inactive	Right Choice Ins Agency Inc	620070	Agent - Property	12/13/2005	5/25/2006
Inactive	Right Choice Ins Agency Inc	620070	Agent - Casualty	12/13/2005	5/25/2006