DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Brian Michael	DOIID	676257	NAIC NPN	10348924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/24/2008		10/31/2024
Active	Non Resident	Agent	Casualty	3/24/2008		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/28/2017	8/30/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/28/2017	8/30/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/12/2016	10/1/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/12/2016	10/1/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/12/2016	10/1/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/12/2016	10/1/2020
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/12/2016	10/1/2020
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/12/2016	10/1/2020
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/23/2008	8/25/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/23/2008	8/25/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/24/2020	9/15/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/24/2020	9/15/2023
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/27/2019	3/24/2020
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/27/2019	3/24/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	12/23/2011	3/24/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	12/23/2011	3/24/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/16/2008	3/24/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/16/2008	3/24/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	6/8/2018	6/19/2020
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	6/8/2018	6/19/2020