DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Phillip R	DOIID	345917	NAIC NPN	7189640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/14/1998	12/1/2019
Inactive	Resident	Agent	Health	7/14/1998	12/1/2019
Inactive	Resident	Agent	General Lines	8/3/1998	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2019
Inactive	Resident	Agent	Property	8/15/2000	12/1/2019
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	7/22/2015	9/11/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/22/2015	9/11/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/22/2015	9/11/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/22/2015	9/11/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/22/2015	12/1/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/22/2015	12/1/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/2/2006	12/1/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/18/2005	1/26/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/18/2005	1/26/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/16/2005	2/28/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	12/16/2005	2/28/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/13/2010	2/28/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/13/2010	2/28/2013
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/15/2000	9/10/2018
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	8/3/1998	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/15/2000	9/10/2018
Inactive	Shelter Life Insurance Company	300391	Agent - Health	7/14/1998	9/10/2018
Inactive	Shelter Life Insurance Company	300391	Agent - Life	7/14/1998	9/10/2018
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/15/2000	9/10/2018
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	8/3/1998	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/15/2000	9/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001	9/10/2018
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001	9/10/2018
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	8/15/2000	12/1/2019
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	8/15/2000	12/1/2019