DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Robert S	DOIID	964306	NAIC NPN	5764430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/18/2017	3/31/2019
Inactive	Non Resident	Agent	Life	8/18/2017	3/31/2019
* 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 Financial Security Life Insurance Co.	301635	Agent - Health	10/10/2017	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	10/2/2017	3/31/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	10/2/2017	3/31/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/4/2017	5/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Life	4/13/2018	3/31/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/13/2018	3/31/2019