DEPARTMENT OF INSURANCE

Affiliations

Name	Collard, Susan E	DOIID	767541	NAIC NPN	16442992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/11/2012	8/31/2021
Inactive	Resident	Agent	Life	12/1/2011	8/31/2021
Inactive	Resident	Agent	Casualty	10/16/2012	8/31/2021
Inactive	Resident	Agent	Health	12/1/2011	8/31/2021
* 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	6/10/2020	8/31/2021
Inactive	All Savers Insurance Company	301940	Agent - Health	9/30/2015	4/23/2017
Inactive	All Savers Insurance Company	301940	Agent - Life	9/30/2015	4/23/2017
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	10/26/2012	10/4/2014
Inactive	Allstate Indemnity Company	300778	Agent - Property	10/26/2012	10/4/2014
Inactive	Allstate Insurance Company	300773	Agent - Casualty	10/26/2012	10/4/2014
Inactive	Allstate Insurance Company	300773	Agent - Property	10/26/2012	10/4/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	10/26/2012	10/4/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	10/26/2012	10/4/2014
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/19/2014	10/4/2014
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/19/2014	10/4/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/14/2015	6/1/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/14/2015	6/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/20/2011	2/15/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/20/2011	2/15/2017
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	5/25/2012	6/4/2019
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	5/25/2012	6/4/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/27/2015	2/14/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/27/2015	2/14/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/12/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/9/2013	7/12/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	3/15/2017	3/19/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	3/15/2017	3/19/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/15/2017	3/19/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/15/2017	3/19/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/10/2015	4/23/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/10/2015	4/23/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/18/2016	8/31/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/18/2016	8/31/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/11/2015	7/12/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/11/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/9/2013	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2013	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/9/2013	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/11/2015	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/11/2015	7/12/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/11/2015	7/12/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/12/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/19/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/19/2011	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/8/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/8/2014	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Inactive	Superior Dental Care Inc.	300418	Agent - Health	12/7/2015	11/27/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/1/2016	4/23/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/1/2016	4/23/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/10/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/10/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/11/2015	10/31/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/11/2015	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/10/2015	8/31/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/16/2015	3/15/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/16/2015	3/15/2017
Inactive	KIW Insurance LLC	878636	Agent - Life	8/24/2015	3/8/2017
Inactive	KIW Insurance LLC	878636	Agent - Health	8/24/2015	3/8/2017
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Life	8/2/2013	8/24/2015
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Health	8/2/2013	8/24/2015
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Casualty	8/2/2013	10/4/2014
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Property	8/2/2013	10/4/2014
Inactive	Medlink Inc	400721	Agent - Life	11/3/2015	8/31/2021
Inactive	Medlink Inc	400721	Agent - Health	11/3/2015	8/31/2021
Inactive	Planchoice Inc.	400482	Agent - Health	4/17/2014	8/31/2021