DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Lisa Marie	DOIID	786233	NAIC NPN	16688467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/16/2012	8/31/2026
Active	Non Resident	Agent	Property	7/16/2012	8/31/2026
* 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	06/15/2024	08/31/2024	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/9/2018
Active	Bristol West Insurance Company	301655	Agent - Property	5/9/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	7/23/2012	7/12/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	7/23/2012	7/12/2013
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/23/2012
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/23/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/23/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/23/2012
Inactive	Homesite Insurance Company	301139	Agent - Casualty	6/13/2018	9/12/2022
Inactive	Homesite Insurance Company	301139	Agent - Property	6/13/2018	9/12/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	6/13/2018	9/12/2022
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	6/13/2018	9/12/2022
Inactive	Independence American Insurance Company	524747	Agent - Casualty	8/3/2020	12/18/2020
Inactive	Independence American Insurance Company	524747	Agent - Property	8/3/2020	12/30/2022
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	9/7/2021	8/9/2022
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	9/7/2021	8/9/2022
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	6/13/2018	9/12/2022
Inactive	Midvale Indemnity Company	300292	Agent - Property	6/13/2018	9/12/2022
Inactive	Milbank Insurance Company	925185	Agent - Casualty	5/20/2020	9/1/2022
Inactive	Milbank Insurance Company	925185	Agent - Property	5/20/2020	9/1/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/21/2017	9/1/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/21/2017	9/1/2022
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	10/10/2014	10/2/2023
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	10/10/2014	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Farmers General Insurance Agency, Inc.	516608	Agent - Property	12/4/2023
Active	Farmers General Insurance Agency, Inc.	516608	Agent - Casualty	12/4/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Property	5/27/2021
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	5/27/2021