DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Dlajaith Darrel	DOIID	908078	NAIC NPN	17679391

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/29/2016	8/31/2018
* 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	Dental Concern Inc. (The)	301641	Agent - Health	8/21/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/21/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/21/2017	6/15/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	9/23/2016	12/22/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/15/2017	12/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	9/23/2016	4/25/2017