DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Columbian Financial Services Corporation	DOIID	600101	NAIC NPN	5747525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/21/2010	3/31/2015
Inactive	Non Resident	Agent	Health	7/21/2010	3/31/2015
* 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	Columbian Life Insurance Company	300810	Agent - Health	1/4/2005	6/1/2010
Inactive	Columbian Life Insurance Company	300810	Agent - Life	8/2/2010	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cobb, Alice L	648282	Agent - Health	7/21/2010	3/31/2015
Inactive	Cobb, Alice L	648282	Agent - Life	7/21/2010	3/31/2015
Inactive	Warren, Scott R	563910	Agent - Health	1/4/2005	2/9/2007
Inactive	Warren, Scott R	563910	Agent - Life	1/5/2005	2/9/2007