DEPARTMENT OF INSURANCE

Affiliations

Name	Collinsworth, Willi H	DOIID	324546	NAIC NPN	2200464

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/20/2016		10/31/2026
Active	Non Resident	Agent	Casualty	10/20/2016		10/31/2026
Inactive	Non Resident	Agent	General Lines	1/15/1999	8/15/2000
* 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
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/24/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/24/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/26/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/26/2018
Active	Homesite Insurance Company	301139	Agent - Casualty	11/19/2016
Active	Homesite Insurance Company	301139	Agent - Property	11/19/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	8/25/2023
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	9/12/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	9/12/2023
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	11/1/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - General Lines	6/1/1999	8/15/2000
Active	Progressive Direct Insurance Company	301379	Agent - Property	11/1/2016
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/28/2003
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	1/15/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/28/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/25/2007	7/22/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/25/2007	7/22/2008
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/31/2018	10/11/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/31/2018	10/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	11/1/2016
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	11/1/2016