DEPARTMENT OF INSURANCE
Affiliations
NameColliver, David WDOIID750417NAIC NPN1759789
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/13/2022 2/28/2026
ActiveNon ResidentAgentCasualty5/13/2022 2/28/2026
InactiveNon ResidentAgentLife5/28/20192/28/2022 
InactiveNon ResidentAgentHealth4/17/20142/28/2022 
* 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
InactiveAccendo Insurance Company300312Agent - Life10/23/20202/28/2022
InactiveAetna Health Inc. (PA)660717Agent - Health9/9/20207/9/2021
InactiveAetna Health and Life Insurance Company300523Agent - Health10/23/20202/28/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/9/20207/9/2021
InactiveAetna Life Insurance Company301140Agent - Health9/9/20207/9/2021
ActiveAllstate Indemnity Company300778Agent - Casualty1/25/2023 
ActiveAllstate Indemnity Company300778Agent - Property1/25/2023 
ActiveAllstate Insurance Company300773Agent - Casualty1/25/2023 
ActiveAllstate Insurance Company300773Agent - Property1/25/2023 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty1/25/2023 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property1/25/2023 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty1/25/2023 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property1/25/2023 
InactiveAmerican Continental Insurance Company643130Agent - Life10/23/20208/11/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/28/202110/28/2021
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health8/28/202110/28/2021
InactiveAnthem Life Insurance Company301209Agent - Health8/28/202110/28/2021
InactiveAnthem Life Insurance Company301209Agent - Life8/28/202110/28/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health12/8/20202/28/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health8/28/202110/28/2021
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/23/20202/28/2022
InactiveDental Concern Inc. (The)301641Agent - Health11/17/20202/28/2022
InactiveGrange Indemnity Insurance Company300793Agent - Casualty6/4/20132/28/2014
InactiveGrange Indemnity Insurance Company300793Agent - Property6/4/20132/28/2014
InactiveGrange Insurance Company300234Agent - Casualty6/4/20132/28/2014
InactiveGrange Insurance Company300234Agent - Property6/4/20132/28/2014
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty6/4/20132/28/2014
InactiveGrange Property & Casualty Insurance Company601680Agent - Property6/4/20132/28/2014
InactiveIndependence American Insurance Company524747Agent - Health1/22/20182/28/2022
InactiveIntegon Indemnity Corporation300674Agent - Casualty6/14/20227/21/2022
InactiveIntegon Indemnity Corporation300674Agent - Property6/14/20227/21/2022
InactiveMadison National Life Insurance Company Inc.301458Agent - Health7/31/20182/28/2022
InactiveNationwide Assurance Company300166Agent - Casualty5/24/20114/18/2013
InactiveNationwide General Insurance Company300603Agent - Casualty5/24/20114/18/2013
InactiveNationwide General Insurance Company300603Agent - Property5/24/20114/18/2013
InactiveNationwide Insurance Company of America300333Agent - Casualty5/24/20114/18/2013
InactiveNationwide Insurance Company of America300333Agent - Property5/24/20114/18/2013
InactiveNationwide Life Insurance Company300495Agent - Life5/24/20114/18/2013
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life5/24/20114/18/2013
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty5/24/20114/18/2013
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property5/24/20114/18/2013
InactiveNationwide Mutual Insurance Company301749Agent - Casualty5/24/20114/18/2013
InactiveNationwide Mutual Insurance Company301749Agent - Property5/24/20114/18/2013
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty5/24/20114/18/2013
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property5/24/20114/18/2013
InactiveSilverScript Insurance Company663526Agent - Health9/9/20207/9/2021
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/5/201712/26/2018
InactiveTrustgard Insurance Company300104Agent - Casualty6/4/20132/28/2014
InactiveTrustgard Insurance Company300104Agent - Property6/4/20132/28/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/21/20203/8/2021
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/21/20203/8/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/21/20203/8/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/21/20203/8/2021
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/24/20114/18/2013
InactiveVictoria Fire & Casualty Company300313Agent - Property5/24/20114/18/2013
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/7/20202/28/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/7/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/3/20198/11/2020
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/20148/11/2020
InactiveDirect General Insurance Agency Inc1018980Agent - Property6/14/20227/21/2022
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty6/14/20227/21/2022
InactiveNational General Ins Marketing Inc621228Agent - Property6/14/20227/21/2022
InactiveNational General Ins Marketing Inc621228Agent - Casualty6/14/20227/21/2022
InactiveeHealthInsurance Services Inc.514105Agent - Health9/15/20203/5/2021

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