DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collentine, John	DOIID	729552	NAIC NPN	361948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	6/3/2010		5/31/2024
Pending Replacement	Non Resident	Agent	Life	6/3/2010		5/31/2024
Pending Replacement	Non Resident	Agent	Casualty	6/3/2010		5/31/2024
Pending Replacement	Non Resident	Agent	Property	6/3/2010		5/31/2024
* 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	Berkley Insurance Company	301355	Agent - Casualty	3/1/2017	6/11/2024
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	3/1/2017	6/11/2024
Inactive	Merastar Insurance Company	301363	Agent - Casualty	6/13/2011	4/30/2012
Inactive	Merastar Insurance Company	301363	Agent - Property	6/13/2011	4/30/2012
Inactive	Response Insurance Company	300240	Agent - Casualty	4/30/2012	1/2/2014
Inactive	Response Insurance Company	300240	Agent - Property	4/30/2012	1/2/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/1/2011	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/1/2011	12/21/2015
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	4/30/2012	10/2/2023
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	4/30/2012	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Property	1/9/2014	10/2/2023
Pending Replacement	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty	1/9/2014
Denied	Mercer Health & Benefits LLC	607080	Agent - Health
Denied	Mercer Health & Benefits LLC	607080	Agent - Life
Inactive	Mercer Health & Benefits LLC	607080	Agent - Property	1/15/2019	10/2/2023
Pending Replacement	Mercer Health & Benefits LLC	607080	Agent - Casualty	1/15/2019
Inactive	Seabury & Smith Inc	394854	Agent - Property	6/23/2011	4/8/2014
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	6/23/2011	4/8/2014