DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Teddy	DOIID	1241794	NAIC NPN	20351392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/11/2022		9/30/2024
Active	Non Resident	Agent	Casualty	11/11/2022		9/30/2024
* 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	07/15/2024	09/30/2024

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	11/18/2022	4/12/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/18/2022	4/12/2023
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/18/2022	4/12/2023
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/18/2022	4/12/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/18/2022	4/12/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/18/2022	4/12/2023

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 - Casualty	11/18/2022	4/12/2023
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	11/18/2022	4/12/2023