DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Teronica	DOIID	816666	NAIC NPN	17020628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	8/8/2013	1/31/2019
Inactive	Non Resident	Staff Adjuster	Property & Casualty	2/2/2016	1/31/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2016	1/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/27/2016	1/31/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	9/29/2016	12/27/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/7/2016	1/28/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/14/2013	10/27/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/14/2013	10/27/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/27/2016	1/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/30/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/30/2016	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/14/2013	10/22/2015
Inactive	SILAC Insurance Company	300535	Agent - Health	7/12/2016	3/29/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/3/2016	7/19/2017
Inactive	State Mutual Insurance Company	300359	Agent - Health	6/20/2016	9/27/2018
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	8/11/2016	1/30/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/14/2016	6/15/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	10/27/2015