DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kolibas, Bonnie S	DOIID	660653	NAIC NPN	1451843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/27/2007	1/23/2009
Inactive	Non Resident	Agent	Property	7/27/2007	1/23/2009
Inactive	Non Resident	Agent	Health	7/27/2007	1/23/2009
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/25/2008	1/23/2009
* 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	American Fidelity Assurance Company	301004	Agent - Health	10/29/2007	1/1/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/15/2008	1/23/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/15/2008	1/23/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/15/2008	1/23/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/15/2008	1/23/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/15/2008	1/23/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/15/2008	1/23/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/15/2008	1/23/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/15/2008	1/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Elite Group LLC	683894	Agent - Casualty	7/15/2008	1/23/2009
Inactive	The Elite Group LLC	683894	Agent - Property	7/15/2008	1/23/2009