DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Jerry C	DOIID	373015	NAIC NPN	7201494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/18/2016
Inactive	Resident	Agent	General Lines	12/29/1982	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	3/18/2016
* 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	ACE American Insurance Company	300625	Agent - General Lines	5/23/1986	3/31/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/23/1986	3/31/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/23/1986	3/31/1996
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/3/2003	3/8/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/3/2003	3/8/2016
Inactive	American Automobile Insurance Company	300953	Agent - General Lines	12/29/1982	3/31/1996
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/1/2006
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	6/4/1993	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/1/2006
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	3/18/2016
Inactive	American Economy Insurance Company	300315	Agent - General Lines	8/9/1991	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	3/18/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	3/18/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	3/18/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/6/2006	3/18/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/6/2006	3/18/2016
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	7/7/2003	3/21/2005
Inactive	American Select Insurance Company	301229	Agent - Casualty	8/15/2000	10/11/2002
Inactive	American Select Insurance Company	301229	Agent - General Lines	3/3/1999	8/15/2000
Inactive	American Select Insurance Company	301229	Agent - Property	8/15/2000	10/11/2002
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	3/18/2016
Inactive	American States Insurance Company	301230	Agent - General Lines	8/9/1991	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	3/18/2016
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	5/18/2011
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	8/9/1991	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	5/18/2011
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/6/2006	3/18/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/6/2006	3/18/2016
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	4/5/2010	3/18/2016
Inactive	Ansur America Insurance Company	520667	Agent - Property	4/5/2010	3/18/2016
Inactive	Assurance Company of America	300432	Agent - Casualty	10/15/2002	1/21/2014
Inactive	Assurance Company of America	300432	Agent - General Lines	3/11/1986	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	10/15/2002	1/21/2014
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	4/18/1989	8/15/2000
Inactive	Bedivere Insurance Company	300710	Agent - Property	8/15/2000	11/22/2004
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	2/19/2007	12/17/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/27/2013	3/18/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/27/2013	3/18/2016
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	4/25/1997	3/31/1998
Inactive	Century Indemnity Company	301310	Agent - General Lines	5/23/1986	3/31/1996
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/7/2004	3/18/2016
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/15/2002	3/18/2016
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/15/2002	3/18/2016
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	3/18/2016
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/9/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	3/18/2016
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/1/2006
Inactive	Continental Casualty Company	301019	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/1/2006
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	12/1/2006
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/4/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	12/1/2006
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	3/18/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	3/18/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	5/13/2002	3/18/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	5/13/2002	3/18/2016
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	9/3/2002
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/15/2002	3/18/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/15/2002	3/18/2016
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	12/29/1982	3/31/1996
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/5/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	3/18/2016
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	3/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/29/2004	3/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/29/2004	3/18/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	3/18/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	3/18/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	3/18/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	3/18/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	4/5/2010	3/18/2016
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	4/5/2010	3/18/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	3/18/2016
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	3/18/2016
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/15/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	3/11/1986	3/31/1996
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/15/2002	11/30/2007
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/9/2006	7/19/2006
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/9/2006	7/19/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/9/2006	7/19/2006
Inactive	Grange Insurance Company	300234	Agent - Property	1/9/2006	7/19/2006
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	7/1/2004
Inactive	Great American Insurance Company	301586	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	7/1/2004
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	5/13/2002	3/18/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	5/13/2002	3/18/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/23/1986	3/31/1996
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	3/18/2016
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/9/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	3/18/2016
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/23/1986	3/31/1996
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/15/2002	1/21/2014
Inactive	Maryland Casualty Company	301719	Agent - General Lines	3/11/1986	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	10/15/2002	1/21/2014
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/1/2006
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	6/4/1993	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/1/2006
Inactive	National Surety Corporation	300087	Agent - General Lines	12/29/1982	3/31/1996
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	3/18/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/9/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	3/18/2016
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/15/2002	1/21/2014
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	3/11/1986	3/31/1996
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/15/2002	1/21/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2011	3/18/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2011	3/18/2016
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	10/11/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	9/13/1994	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	10/11/2002
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	3/18/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	3/18/2016
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	4/29/1992	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/23/1986	3/31/1996
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	3/18/2016
Inactive	Peerless Insurance Company	301910	Agent - General Lines	2/9/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	3/18/2016
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	4/18/1989	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	8/15/2000	11/22/2004
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	12/29/1982	3/31/1996
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	12/6/1999	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	12/6/1999	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	12/6/1999	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Reliance Universal Insurance Company	301083	Agent - General Lines	12/6/1999	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Property	8/15/2000	6/1/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	3/18/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	3/18/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	3/18/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	3/18/2016
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	11/12/2010	3/18/2016
Inactive	Selective Insurance Company of America	500018	Agent - Property	11/12/2010	3/18/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	11/12/2010	3/18/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	11/12/2010	3/18/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/15/2000	3/18/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	8/15/2000	3/18/2016
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	11/20/1990	3/31/1996
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/7/2004	3/18/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/7/2004	3/18/2016
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	12/1/2006
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	12/1/2006
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	12/1/2006
Inactive	Transportation Insurance Company	301575	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	12/1/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/7/2004	3/18/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/7/2004	3/18/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/7/2004	3/18/2016
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/9/2006	7/19/2006
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/9/2006	7/19/2006
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	3/18/2016
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	3/18/2016
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	12/6/1999	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	3/18/2016
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	4/4/1988	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	3/18/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	12/1/2006
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	6/4/1993	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	12/1/2006
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	12/29/1982	3/31/1996
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	3/18/2016
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	3/18/2016
Inactive	West Bend Insurance Company	672974	Agent - Casualty	9/11/2013	3/18/2016
Inactive	West Bend Insurance Company	672974	Agent - Property	9/11/2013	3/18/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	10/11/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	9/13/1994	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	10/11/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	10/11/2002
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	9/13/1994	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	10/11/2002
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	7/6/2006	3/18/2016
Inactive	Zurich American Insurance Company	301121	Agent - Property	7/6/2006	3/18/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	7/6/2006	3/18/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/6/2006	3/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. H. Bilz Insurance Agency Inc.	398379	Agent - General Lines	3/11/1993	8/15/2000
Inactive	Chas. H. Bilz Insurance Agency Inc.	398379	Agent - Property	8/15/2000	3/16/2016
Inactive	Chas. H. Bilz Insurance Agency Inc.	398379	Agent - Casualty	8/15/2000	3/16/2016