DEPARTMENT OF INSURANCE

Affiliations

Name	Collum, Jason Lamar	DOIID	627448	NAIC NPN	7982815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/7/2006	12/31/2012
Inactive	Non Resident	Agent	Life	3/7/2006	12/31/2012
* 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	Aetna Health Inc.	300694	Agent - Health	6/13/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	10/18/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/13/2006	10/18/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/13/2006	10/18/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/31/2011	1/1/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/31/2011	1/1/2013
Inactive	American General Assurance Company	300586	Agent - Health	8/12/2008	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	8/12/2008	12/31/2012
Denied	American General Life Insurance Company	301585	Agent - Health
Denied	American General Life Insurance Company	301585	Agent - Life
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	4/17/2006	12/31/2012
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	4/17/2006	12/31/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/25/2006	12/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/25/2006	12/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/25/2006	12/31/2012
Inactive	Continental American Insurance Company	301700	Agent - Health	11/15/2011	12/31/2012
Inactive	Continental American Insurance Company	301700	Agent - Life	11/15/2011	12/31/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/1/2011	2/23/2012
Inactive	MedAmerica Insurance Company	301568	Agent - Health	5/28/2008	12/31/2012
Inactive	Professional Insurance Company	301281	Agent - Health	5/15/2006	12/31/2012
Inactive	Professional Insurance Company	301281	Agent - Life	5/15/2006	12/31/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/11/2008	12/31/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/11/2008	12/31/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/11/2008	12/31/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/11/2008	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	3/11/2008	12/31/2012
Inactive	Medlink Inc	400721	Agent - Life	3/11/2008	12/31/2012