DEPARTMENT OF INSURANCE

Affiliations

Name	Colliver, David W	DOIID	750417	NAIC NPN	1759789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/13/2022		2/28/2026
Active	Non Resident	Agent	Casualty	5/13/2022		2/28/2026
Inactive	Non Resident	Agent	Life	5/28/2019	2/28/2022
Inactive	Non Resident	Agent	Health	4/17/2014	2/28/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	10/23/2020	2/28/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/9/2020	7/9/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/23/2020	2/28/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/9/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2020	7/9/2021
Active	Allstate Indemnity Company	300778	Agent - Casualty	1/25/2023
Active	Allstate Indemnity Company	300778	Agent - Property	1/25/2023
Active	Allstate Insurance Company	300773	Agent - Casualty	1/25/2023
Active	Allstate Insurance Company	300773	Agent - Property	1/25/2023
Active	Allstate North America Insurance Company	1121481	Agent - Casualty	1/30/2025
Active	Allstate North America Insurance Company	1121481	Agent - Property	1/30/2025
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	1/25/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	1/25/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	1/25/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	1/25/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	10/23/2020	8/11/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2021	10/28/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/28/2021	10/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/28/2021	10/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/28/2021	10/28/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2020	2/28/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2021	10/28/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/23/2020	2/28/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/17/2020	2/28/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/4/2013	2/28/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/4/2013	2/28/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/4/2013	2/28/2014
Inactive	Grange Insurance Company	300234	Agent - Property	6/4/2013	2/28/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/4/2013	2/28/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/4/2013	2/28/2014
Inactive	Independence American Insurance Company	524747	Agent - Health	1/22/2018	2/28/2022
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	6/14/2022	7/21/2022
Inactive	Integon Indemnity Corporation	300674	Agent - Property	6/14/2022	7/21/2022
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	7/31/2018	2/28/2022
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/24/2011	4/18/2013
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	5/24/2011	4/18/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/24/2011	4/18/2013
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/24/2011	4/18/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	5/24/2011	4/18/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/24/2011	4/18/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	5/24/2011	4/18/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/9/2020	7/9/2021
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	12/5/2017	12/26/2018
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/4/2013	2/28/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/4/2013	2/28/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2020	3/8/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/21/2020	3/8/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/21/2020	3/8/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/21/2020	3/8/2021
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/24/2011	4/18/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/24/2011	4/18/2013
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/7/2020	2/28/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/7/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/3/2019	8/11/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/28/2014	8/11/2020
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	6/14/2022	7/21/2022
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	6/14/2022	7/21/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Property	6/14/2022	7/21/2022
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	6/14/2022	7/21/2022
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	9/15/2020	3/5/2021