DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bristow, Colleen	DOIID	907504	NAIC NPN	17664122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/22/2016	1/31/2019
Inactive	Non Resident	Agent	Health	11/8/2017	1/31/2019
* 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	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	3/31/2016	8/4/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/10/2017	1/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/10/2017	1/31/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/10/2017	1/31/2019
Inactive	Great Western Insurance Company	501693	Agent - Life	4/1/2016	1/31/2019

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	11/14/2017	1/31/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/14/2017	1/31/2019