DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Collin Anthony	DOIID	859734	NAIC NPN	17412384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/5/2014	5/27/2015
Inactive	Non Resident	Agent	Property	11/5/2014	5/27/2015
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	11/20/2014	5/27/2015
Inactive	Aegis Security Insurance Company	300492	Agent - Property	11/20/2014	5/27/2015
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/12/2014	5/27/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/12/2014	5/27/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/12/2014	5/27/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/12/2014	5/27/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/12/2014	5/27/2015
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/12/2014	5/27/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/12/2014	5/27/2015
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/12/2014	5/27/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Western Star Insurance Services Inc.	757319	Agent - Property	2/18/2015	4/20/2015
Inactive	Western Star Insurance Services Inc.	757319	Agent - Casualty	2/18/2015	4/20/2015