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	Casualty	5/13/2022		2/28/2026
Active	Non Resident	Agent	Property	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.

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