DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Carly	DOIID	1052686	NAIC NPN	19260657

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/1/2021		7/31/2025
Active	Non Resident	Agent	Property	10/1/2021		7/31/2025
Active	Non Resident	Agent	Personal Lines	8/21/2019		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	8/28/2019	9/13/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	8/28/2019	9/13/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/24/2022	8/3/2023
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	1/24/2022	8/3/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/24/2022	8/3/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/24/2022	8/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Personal Lines	5/27/2021	9/13/2021