DEPARTMENT OF INSURANCE
Affiliations
NameCollins, Myrtle LDOIID620561NAIC NPN8654009
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth11/21/20069/1/2016 
InactiveResidentAgentProperty1/29/20089/1/2016 
InactiveResidentAgentLife11/14/20069/1/2016 
InactiveResidentAgentCasualty2/5/20089/1/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAIG Assurance Company300897Agent - Casualty2/11/20089/28/2010
InactiveAIG Assurance Company300897Agent - Property2/11/20089/28/2010
InactiveAnthem Life Insurance Company301209Agent - Health3/29/20079/1/2016
InactiveAnthem Life Insurance Company301209Agent - Life3/29/20079/1/2016
InactiveBristol West Insurance Company301655Agent - Casualty7/6/20109/1/2016
InactiveBristol West Insurance Company301655Agent - Property7/6/20109/1/2016
InactiveCombined Insurance Company of America301472Agent - Health7/19/20129/1/2016
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/4/200712/11/2008
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life5/4/200712/11/2008
InactiveDairyland Insurance Company301370Agent - Casualty11/2/20099/1/2016
InactiveDairyland Insurance Company301370Agent - Property11/2/20099/1/2016
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20099/8/2010
InactiveFarmers Insurance Exchange300336Agent - Casualty11/17/20088/20/2012
InactiveFarmers Insurance Exchange300336Agent - Property11/17/20088/20/2012
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/29/20119/1/2016
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/29/20119/1/2016
InactiveGerber Life Insurance Company300529Agent - Health9/28/200912/15/2011
InactiveGerber Life Insurance Company300529Agent - Life9/28/200912/15/2011
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/20099/8/2010
InactiveHumana Insurance Company301104Agent - Health7/13/20079/8/2010
InactiveHumana Insurance Company301104Agent - Life7/13/20079/8/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/13/20079/8/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/13/20079/8/2010
InactiveHumanaDental Insurance Company301457Agent - Health7/13/20079/8/2010
InactiveHumanaDental Insurance Company301457Agent - Life7/13/20079/8/2010
InactiveIllinois National Insurance Company301367Agent - Casualty2/11/20089/28/2010
InactiveIllinois National Insurance Company301367Agent - Property2/11/20089/28/2010
InactiveIndependent Mutual Fire Insurance Company300851Agent - Casualty5/30/201410/5/2016
InactiveIndependent Mutual Fire Insurance Company300851Agent - Property5/30/201410/5/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health6/12/20126/24/2013
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty5/31/20107/8/2011
InactiveNationwide Agribusiness Insurance Company301008Agent - Property5/31/20107/8/2011
InactiveNationwide Assurance Company300166Agent - Casualty5/31/20107/8/2011
InactiveNationwide General Insurance Company300603Agent - Casualty5/31/20107/8/2011
InactiveNationwide General Insurance Company300603Agent - Property5/31/20107/8/2011
InactiveNationwide Life Insurance Company300495Agent - Health5/31/20107/8/2011
InactiveNationwide Life Insurance Company300495Agent - Life5/31/20107/8/2011
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life5/31/20107/8/2011
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty5/31/20107/8/2011
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property5/31/20107/8/2011
InactiveNationwide Mutual Insurance Company301749Agent - Casualty5/31/20107/8/2011
InactiveNationwide Mutual Insurance Company301749Agent - Property5/31/20107/8/2011
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty5/31/20107/8/2011
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property5/31/20107/8/2011
InactiveOmaha Insurance Company751908Agent - Health6/14/20126/24/2013
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty2/11/20081/25/2011
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property2/11/20081/25/2011
InactiveTruck Insurance Exchange300335Agent - Casualty11/17/20088/20/2012
InactiveTruck Insurance Exchange300335Agent - Property11/17/20088/20/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/12/20126/24/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/12/20126/24/2013
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/31/20107/8/2011
InactiveVictoria Fire & Casualty Company300313Agent - Property5/31/20107/8/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health10/31/20071/10/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/11/20139/1/2016
InactiveDesignated Agent Company Inc.681257Agent - Life12/11/20139/1/2016
InactiveLewis Insurance Group, Inc.647082Agent - Health4/2/20079/1/2016
InactiveLewis Insurance Group, Inc.647082Agent - Life4/2/20079/1/2016
InactiveMedlink Inc400721Agent - Health9/14/20109/1/2016
InactiveMedlink Inc400721Agent - Life9/14/20109/1/2016
InactiveNBS Insurance Agency Inc515576Agent - Casualty7/26/20109/1/2016
InactiveNBS Insurance Agency Inc515576Agent - Property7/26/20109/1/2016
InactiveNetwork Enterprises596439Agent - Casualty3/19/20083/31/2014
InactiveNetwork Enterprises596439Agent - Property3/19/20083/31/2014
InactiveThompson & Collins Agency756256Agent - Casualty6/16/20119/1/2016
InactiveThompson & Collins Agency756256Agent - Property6/16/20119/1/2016

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