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DEPARTMENT OF INSURANCE
Affiliations
Name
Collins, Myrtle L
DOIID
620561
NAIC NPN
8654009
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
11/21/2006
9/1/2016
Inactive
Resident
Agent
Property
1/29/2008
9/1/2016
Inactive
Resident
Agent
Life
11/14/2006
9/1/2016
Inactive
Resident
Agent
Casualty
2/5/2008
9/1/2016
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AIG Assurance Company
300897
Agent - Casualty
2/11/2008
9/28/2010
Inactive
AIG Assurance Company
300897
Agent - Property
2/11/2008
9/28/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/29/2007
9/1/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/29/2007
9/1/2016
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
7/6/2010
9/1/2016
Inactive
Bristol West Insurance Company
301655
Agent - Property
7/6/2010
9/1/2016
Inactive
Combined Insurance Company of America
301472
Agent - Health
7/19/2012
9/1/2016
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
5/4/2007
12/11/2008
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
5/4/2007
12/11/2008
Inactive
Dairyland Insurance Company
301370
Agent - Casualty
11/2/2009
9/1/2016
Inactive
Dairyland Insurance Company
301370
Agent - Property
11/2/2009
9/1/2016
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
9/8/2010
Inactive
Farmers Insurance Exchange
300336
Agent - Casualty
11/17/2008
8/20/2012
Inactive
Farmers Insurance Exchange
300336
Agent - Property
11/17/2008
8/20/2012
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
6/29/2011
9/1/2016
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
6/29/2011
9/1/2016
Inactive
Gerber Life Insurance Company
300529
Agent - Health
9/28/2009
12/15/2011
Inactive
Gerber Life Insurance Company
300529
Agent - Life
9/28/2009
12/15/2011
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/20/2009
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Health
7/13/2007
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Life
7/13/2007
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
7/13/2007
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
7/13/2007
9/8/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Health
7/13/2007
9/8/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Life
7/13/2007
9/8/2010
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
2/11/2008
9/28/2010
Inactive
Illinois National Insurance Company
301367
Agent - Property
2/11/2008
9/28/2010
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Casualty
5/30/2014
10/5/2016
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Property
5/30/2014
10/5/2016
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
6/12/2012
6/24/2013
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide Agribusiness Insurance Company
301008
Agent - Property
5/31/2010
7/8/2011
Inactive
Nationwide Assurance Company
300166
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide General Insurance Company
300603
Agent - Property
5/31/2010
7/8/2011
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
5/31/2010
7/8/2011
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
5/31/2010
7/8/2011
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
5/31/2010
7/8/2011
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide Mutual Fire Insurance Company
301722
Agent - Property
5/31/2010
7/8/2011
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
5/31/2010
7/8/2011
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
5/31/2010
7/8/2011
Inactive
Omaha Insurance Company
751908
Agent - Health
6/14/2012
6/24/2013
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Casualty
2/11/2008
1/25/2011
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Property
2/11/2008
1/25/2011
Inactive
Truck Insurance Exchange
300335
Agent - Casualty
11/17/2008
8/20/2012
Inactive
Truck Insurance Exchange
300335
Agent - Property
11/17/2008
8/20/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
6/12/2012
6/24/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
6/12/2012
6/24/2013
Inactive
Victoria Fire & Casualty Company
300313
Agent - Casualty
5/31/2010
7/8/2011
Inactive
Victoria Fire & Casualty Company
300313
Agent - Property
5/31/2010
7/8/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
10/31/2007
1/10/2014
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/11/2013
9/1/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/11/2013
9/1/2016
Inactive
Lewis Insurance Group, Inc.
647082
Agent - Health
4/2/2007
9/1/2016
Inactive
Lewis Insurance Group, Inc.
647082
Agent - Life
4/2/2007
9/1/2016
Inactive
Medlink Inc
400721
Agent - Health
9/14/2010
9/1/2016
Inactive
Medlink Inc
400721
Agent - Life
9/14/2010
9/1/2016
Inactive
NBS Insurance Agency Inc
515576
Agent - Casualty
7/26/2010
9/1/2016
Inactive
NBS Insurance Agency Inc
515576
Agent - Property
7/26/2010
9/1/2016
Inactive
Network Enterprises
596439
Agent - Casualty
3/19/2008
3/31/2014
Inactive
Network Enterprises
596439
Agent - Property
3/19/2008
3/31/2014
Inactive
Thompson & Collins Agency
756256
Agent - Casualty
6/16/2011
9/1/2016
Inactive
Thompson & Collins Agency
756256
Agent - Property
6/16/2011
9/1/2016
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