DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Jackie Carter	DOIID	643628	NAIC NPN	6398141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/7/2006		3/31/2026
Active	Non Resident	Agent	Casualty	11/7/2006		3/31/2026
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/9/2009	12/8/2015
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	3/9/2009	12/8/2015
Active	Plaza Insurance Company	300748	Agent - Casualty	3/4/2023
Active	Plaza Insurance Company	300748	Agent - Property	3/4/2023
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/6/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	4/6/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	7/28/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	7/28/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/8/2007	7/28/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/8/2007	7/28/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/30/2007	7/28/2020
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/30/2007	7/28/2020