DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Quinn Adrian	DOIID	935800	NAIC NPN	18117968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/3/2016	2/28/2018
* 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	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/8/2016	12/10/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/8/2016	12/10/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2016	3/17/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/8/2016	12/10/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2016	3/17/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/8/2016	12/10/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/8/2016	12/10/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Extend Insurance Services, LLC	625753	Agent - Health