DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Samuel Marcus	DOIID	1234327	NAIC NPN	19413082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/3/2022	5/28/2024
Inactive	Non Resident	Agent	Casualty	10/3/2022	5/28/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Casualty
Denied	Evertree Mid-Atlantic Insurance Services, LLC	1181590	Agent - Property
Denied	Prosper Ins Group LLC	1080974	Agent - Casualty
Denied	Prosper Ins Group LLC	1080974	Agent - Property