DEPARTMENT OF INSURANCE

Affiliations

Name	Collier, Jason Phillip	DOIID	566231	NAIC NPN	7631326

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	3/27/2003	1/1/2010
Inactive	Resident	Agent	Property	3/27/2003	1/1/2010
* 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 Fire and Casualty Company	300567	Agent - Casualty	5/21/2004	1/1/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/21/2004	1/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/1/2010
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/13/2005	4/5/2007
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/13/2005	4/5/2007
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/13/2005	4/5/2007
Inactive	Grange Insurance Company	300234	Agent - Property	5/13/2005	4/5/2007
Inactive	Great American Assurance Company	300327	Agent - Casualty	11/2/2006	1/1/2010
Inactive	Great American Assurance Company	300327	Agent - Property	11/2/2006	1/1/2010
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/15/2006	1/1/2010
Inactive	Great American Insurance Company	301586	Agent - Property	12/15/2006	1/1/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/1/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/1/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/1/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/1/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/21/2004	1/1/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/21/2004	1/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/21/2004	1/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/21/2004	1/1/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/1/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/1/2010
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/15/2005	12/21/2007
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/15/2005	12/21/2007
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/13/2005	4/5/2007
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/13/2005	4/5/2007
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	4/23/2003	1/1/2010
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	4/23/2003	1/1/2010
Inactive	West American Insurance Company	301112	Agent - Casualty	5/21/2004	1/1/2010
Inactive	West American Insurance Company	301112	Agent - Property	5/21/2004	1/1/2010
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	6/4/2008	1/1/2010
Inactive	XL Specialty Insurance Company	301605	Agent - Property	6/4/2008	1/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blue Grass Insurance Agency Inc.	398208	Agent - Casualty	3/25/2004	10/10/2007
Inactive	Blue Grass Insurance Agency Inc.	398208	Agent - Property	3/25/2004	10/10/2007
Inactive	Bluegrass Bloodstock Agency Inc.	398666	Agent - Casualty	5/5/2003	1/19/2005
Inactive	Bluegrass Bloodstock Agency Inc.	398666	Agent - Property	5/5/2003	1/19/2005
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Casualty	9/17/2008	10/23/2008
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Property	9/17/2008	10/23/2008
Inactive	Muirfield Insurance Inc.	398931	Agent - Casualty	1/23/2007	9/18/2008
Inactive	Muirfield Insurance Inc.	398931	Agent - Property	1/23/2007	9/18/2008