DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Michelle Denise	DOIID	1116912	NAIC NPN	8487765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/15/2021	6/30/2022
Inactive	Non Resident	Agent	Property	1/15/2021	6/30/2022
* 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	Bristol West Insurance Company	301655	Agent - Casualty	2/5/2021	7/21/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/5/2021	7/21/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/5/2021	7/21/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/5/2021	7/21/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Casualty	2/5/2021	7/16/2021
Inactive	Selectquote Auto & Home Ins Services LLC	788155	Agent - Property	2/5/2021	7/16/2021