DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cissell, Colin Scott	DOIID	880956	NAIC NPN	17624778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/28/2015	10/1/2016
Inactive	Resident	Agent	Property	6/26/2015	10/1/2016
Inactive	Resident	Agent	Health	7/28/2015	10/1/2016
Inactive	Resident	Agent	Casualty	6/26/2015	10/1/2016
* 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	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/5/2015	8/7/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	8/5/2015	8/7/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/5/2015	8/7/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/5/2015	8/7/2015
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/5/2015	8/7/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/5/2015	8/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/5/2015	8/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/5/2015	8/7/2015
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/5/2015	8/7/2015