DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collier, Brent Evan	DOIID	351485	NAIC NPN	7192092

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/18/2000	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	8/16/1999	8/16/2000
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Meridian Mutual Insurance Company	301303	Adjuster - Independent	10/18/2000	10/18/2000
Inactive	State Automobile Mutual Insurance Company	301824	Adjuster - Independent	6/1/2001	7/1/2010
Active	State Automobile Mutual Insurance Company	301824	Staff Adjuster - Property & Casualty	7/1/2010

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barnes, David Alan	644344	Apprentice Adjuster - Not Applicable	11/15/2006	11/15/2007
Inactive	Cox, Deirdre Lee	583678	Apprentice Adjuster - Not Applicable	1/28/2004	1/27/2005
Inactive	Earnest-Head, Lisa Renee'	583679	Apprentice Adjuster - Not Applicable	1/28/2004	1/10/2005
Inactive	Kustasz, Robert Kevin	593733	Apprentice Adjuster - Not Applicable	8/9/2004	5/24/2005
Inactive	Lutz, Deanna Lynn	375113	Apprentice Adjuster - Not Applicable	4/3/2002	9/30/2002
Inactive	Manning, Ashley Brooke	680158	Apprentice Adjuster - Not Applicable	5/7/2008	5/7/2009
Inactive	Stinson, Kimla Ann	644333	Apprentice Adjuster - Not Applicable	11/15/2006	11/15/2007

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hogue, David H	325796	Apprentice Adjuster - Not Applicable	8/16/1999	8/16/2000