DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Khamari	DOIID	1039746	NAIC NPN	19156572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/9/2019		5/31/2026
Active	Non Resident	Agent	Casualty	5/9/2019		5/31/2026
* 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
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	5/23/2019
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	5/23/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/1/2023	5/9/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/1/2023	5/9/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/11/2023	5/22/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/11/2023	5/22/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/11/2023	5/22/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/11/2023	5/22/2024
Active	Homesite Insurance Company	301139	Agent - Casualty	11/10/2021
Active	Homesite Insurance Company	301139	Agent - Property	11/10/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/10/2021
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/10/2021
Active	Midvale Indemnity Company	300292	Agent - Casualty	11/10/2021
Active	Midvale Indemnity Company	300292	Agent - Property	11/10/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/14/2023	7/7/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/14/2023	7/7/2024
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/14/2023	7/7/2024
Inactive	United Financial Casualty Company	301886	Agent - Property	8/14/2023	7/7/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023