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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024	10/03/2024	10/03/2024	Yes

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