DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collet, Bethany	DOIID	870696	NAIC NPN	5328636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/2/2015	11/6/2018
Inactive	Non Resident	Agent	Health	3/2/2015	11/6/2018
* 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	Combined Insurance Company of America	301472	Agent - Health	4/2/2015	11/6/2018
Inactive	Combined Insurance Company of America	301472	Agent - Life	4/2/2015	11/6/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/17/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/17/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/17/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/17/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/17/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/17/2017	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	Aon Insurance Agency LLC	516101	Agent - Life	5/12/2017	11/6/2018
Inactive	Aon Insurance Agency LLC	516101	Agent - Health	5/12/2017	11/6/2018