DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson & Collins Agency	DOIID	756256	NAIC NPN	16262211

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	6/16/2011	11/1/2016
Inactive	Resident	Agent	Property	6/16/2011	11/1/2016
* 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
Denied	American Family Home Insurance Company	301817	Agent - Casualty
Denied	American Family Home Insurance Company	301817	Agent - Property
Denied	American Modern Home Insurance Company	300791	Agent - Casualty
Denied	American Modern Home Insurance Company	300791	Agent - Property
Denied	American Modern Select Insurance Company	581481	Agent - Casualty
Denied	American Modern Select Insurance Company	581481	Agent - Property
Denied	American Southern Home Insurance Company	626276	Agent - Casualty
Denied	American Southern Home Insurance Company	626276	Agent - Property
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/29/2011	11/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/29/2011	11/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/29/2011	11/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/29/2011	11/1/2016
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	4/26/2013	11/1/2016
Inactive	Hallmark National Insurance Company	300494	Agent - Property	4/26/2013	11/1/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/27/2011	1/12/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/27/2011	1/12/2016
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/27/2011	1/12/2016
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/27/2011	1/12/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/27/2011	1/12/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	7/27/2011	1/12/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collins, Myrtle L	620561	Agent - Casualty	6/16/2011	9/1/2016
Inactive	Collins, Myrtle L	620561	Agent - Property	6/16/2011	9/1/2016
Inactive	Thompson, Tabitha Ann	608640	Agent - Casualty	6/16/2011	4/1/2016
Inactive	Thompson, Tabitha Ann	608640	Agent - Property	6/16/2011	4/1/2016