DEPARTMENT OF INSURANCE

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.

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