DEPARTMENT OF INSURANCE

Affiliations

Name	Collins Insurance Agency Inc.	DOIID	399196	NAIC NPN	7221479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	3/31/2016
Inactive	Resident	Agent	General Lines	2/1/1988	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	3/31/2016
* 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	AXIS Insurance Company	301290	Agent - Casualty	8/15/2000	9/1/2004
Inactive	AXIS Insurance Company	301290	Agent - General Lines	5/17/1996	8/15/2000
Inactive	AXIS Insurance Company	301290	Agent - Property	8/15/2000	9/1/2004
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	11/28/1995	12/17/1999
Inactive	Credit General Insurance Company	301724	Agent - General Lines	8/12/1994	3/31/1996
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - General Lines	11/24/1992	3/31/1998
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	9/1/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	5/17/1996	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	9/1/2004
Inactive	Globe American Casualty Company	301033	Agent - General Lines	1/16/1991	10/4/1997
Inactive	Hanover American Insurance Company (The)	300447	Agent - General Lines	5/1/1995	3/31/1999
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	3/28/1994	2/10/1999
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	10/26/1992	5/30/2000
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	2/1/1988	5/15/1996
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	8/15/2000	12/6/2007
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	2/23/1993	8/15/2000
Inactive	Lincoln General Insurance Company	301580	Agent - Property	8/15/2000	12/6/2007
Inactive	Massachusetts Bay Insurance Company	300898	Agent - General Lines	3/28/1994	2/10/1999
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	1/15/1993	3/31/1998
Inactive	National Insurance Association	301386	Agent - General Lines	8/31/1989	10/4/1997
Inactive	National Surety Corporation	300087	Agent - Casualty	8/15/2000	9/1/2004
Inactive	National Surety Corporation	300087	Agent - General Lines	5/17/1996	8/15/2000
Inactive	National Surety Corporation	300087	Agent - Property	8/15/2000	9/1/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	8/2/1996	3/6/2000
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	7/22/1994	10/31/1996
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/15/2000	9/1/2004
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	5/17/1996	8/15/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/15/2000	9/1/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/30/2000	11/3/2003
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/30/2000	11/3/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/30/2000	11/3/2003
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/30/2000	11/3/2003
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/30/2000	11/3/2003
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/30/2000	11/3/2003
Inactive	RLI Insurance Company	301217	Agent - Casualty	8/15/2000	4/21/2010
Inactive	RLI Insurance Company	301217	Agent - General Lines	4/20/1998	8/15/2000
Inactive	RLI Insurance Company	301217	Agent - Property	8/15/2000	4/21/2010
Inactive	Realm National Insurance Company	301315	Agent - General Lines	5/1/1998	3/31/2000
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/15/2000	9/1/2004
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	5/17/1996	8/15/2000
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/15/2000	9/1/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carrithers, Leah Marie	677052	Agent - Casualty	6/18/2014	3/31/2016
Inactive	Carrithers, Leah Marie	677052	Agent - Property	6/18/2014	3/31/2016
Inactive	Collins, Nannie Rose	386362	Agent - General Lines	10/21/1997	7/1/1998
Inactive	Collins, Randy Lee	362637	Agent - General Lines	2/1/1988	10/21/1997
Inactive	Martin, Angela Rose	367371	Agent - Casualty	8/15/2000	1/1/2013
Inactive	Martin, Angela Rose	367371	Agent - General Lines	10/21/1997	8/15/2000
Inactive	Martin, Angela Rose	367371	Agent - Property	8/15/2000	1/1/2013
Inactive	Martin, Jacob Lee	556317	Agent - Casualty	3/8/2007	6/1/2014
Inactive	Martin, Jacob Lee	556317	Agent - Property	3/8/2007	6/1/2014
Inactive	Martin, Katie LeAnna	677054	Agent - Casualty	6/18/2014	3/31/2016
Inactive	Martin, Katie LeAnna	677054	Agent - Property	6/18/2014	3/31/2016
Inactive	Martin, Roy	371709	Agent - Casualty	11/11/2008	3/27/2012
Inactive	Martin, Roy	371709	Agent - General Lines	10/21/1997	8/15/2000
Inactive	Martin, Roy	371709	Agent - Property	11/11/2008	3/27/2012