DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Laverne	DOIID	1046483	NAIC NPN	7304379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/4/2019	3/31/2021
Inactive	Non Resident	Agent	Health	9/29/2020	3/31/2021
Inactive	Non Resident	Agent	Property	7/4/2019	3/31/2021
Inactive	Non Resident	Agent	Life	9/29/2020	3/31/2021
* 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	Accendo Insurance Company	300312	Agent - Life	12/17/2020	3/31/2021
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/23/2020	3/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/17/2020	3/31/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/23/2020	3/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/23/2020	3/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	12/17/2020	3/31/2021
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/23/2019	3/5/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/23/2019	3/5/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/8/2021	3/9/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/8/2021	3/9/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/17/2020	3/31/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/8/2021	3/9/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/8/2021	3/9/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/29/2020	11/24/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/1/2020	3/31/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/25/2019	3/31/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/25/2019	3/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/23/2020	3/31/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/23/2019	3/5/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/23/2019	3/5/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/23/2019	3/5/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/23/2019	3/5/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/23/2019	3/5/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/23/2019	3/5/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	8/23/2019	3/5/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	8/23/2019	3/5/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	9/25/2019	3/31/2021
Inactive	United Financial Casualty Company	301886	Agent - Property	9/25/2019	3/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/20/2020	3/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/30/2020	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elite Insurance Group, Inc	1068895	Agent - Casualty	1/28/2021	3/31/2021
Inactive	Elite Insurance Group, Inc	1068895	Agent - Property	1/28/2021	3/31/2021