DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Brion Scott	DOIID	313572	NAIC NPN	2065729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/29/1998	10/31/2007
Inactive	Non Resident	Agent	Health	12/29/1998	10/31/2007
* 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	C.M. Life Insurance Company	301335	Agent - Health	1/7/1999	10/31/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/7/1999	10/31/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/31/1999	8/15/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/31/1999	8/15/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	1/7/1999	7/28/2006
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	1/7/1999	7/28/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/29/1998	10/31/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	12/29/1998	10/31/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Health	10/29/2001	2/3/2003
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/29/2001	2/3/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MML Insurance Agency LLC	398679	Agent - Life	2/20/2007	10/31/2007
Inactive	MML Insurance Agency LLC	398679	Agent - Health	2/20/2007	10/31/2007