DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Adam Scott	DOIID	812830	NAIC NPN	2665996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/20/2013		9/30/2026
Active	Non Resident	Agent	Property	6/20/2013		9/30/2026
* 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	07/15/2024	09/30/2024	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	ACE American Insurance Company	300625	Agent - Casualty	8/9/2017
Active	ACE American Insurance Company	300625	Agent - Property	8/9/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Insurance Services, Inc.	396178	Agent - Property	3/15/2018
Active	Affinity Insurance Services, Inc.	396178	Agent - Casualty	3/15/2018