DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Donald Martin	DOIID	866041	NAIC NPN	7923402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/16/2015	4/30/2018
Inactive	Non Resident	Agent	Casualty	1/16/2015	4/30/2018
Inactive	Non Resident	Agent	Health	1/16/2015	4/30/2018
Inactive	Non Resident	Agent	Life	1/16/2015	4/30/2018
* 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	American Contractors Indemnity Company	536843	Agent - Casualty	11/15/2016	4/30/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/31/2016	5/21/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/31/2016	5/21/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/11/2015	4/30/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/11/2015	4/30/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/18/2015	4/30/2018
Inactive	Farmington Casualty Company	301137	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Farmington Casualty Company	301137	Agent - Property	9/18/2015	4/30/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/30/2016	4/30/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/30/2016	4/30/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/30/2016	4/30/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/30/2016	4/30/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/30/2016	4/30/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/30/2016	4/30/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	4/3/2017	6/12/2017
Inactive	Protective Insurance Company	301117	Agent - Casualty	9/10/2015	4/30/2018
Inactive	Protective Insurance Company	301117	Agent - Property	9/10/2015	4/30/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/21/2017	4/30/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/21/2017	4/30/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/21/2017	4/30/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/21/2017	4/30/2018
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	3/7/2017	4/30/2018
Inactive	Sagamore Insurance Company	300942	Agent - Property	3/7/2017	4/30/2018
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/18/2015	12/14/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/18/2015	12/14/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	9/18/2015	12/14/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	9/18/2015	12/14/2016
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/18/2015	12/14/2016
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	9/18/2015	12/14/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/18/2015	4/30/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/18/2015	4/30/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/18/2015	4/30/2018
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/18/2015	12/14/2016
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/18/2015	12/14/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/18/2015	4/30/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/18/2015	12/14/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/18/2015	12/14/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/18/2015	4/30/2018
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/18/2015	4/30/2018
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/18/2015	4/30/2018
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/18/2015	4/30/2018
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	11/15/2016	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Property	2/20/2017	3/24/2017
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Health	2/16/2017	3/24/2017
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Life	2/16/2017	3/24/2017
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Casualty	2/20/2017	3/24/2017
Inactive	Acrisure LLC	696181	Agent - Property	4/28/2016	4/30/2018
Inactive	Acrisure LLC	696181	Agent - Health	4/28/2016	4/30/2018
Inactive	Acrisure LLC	696181	Agent - Life	4/28/2016	4/30/2018
Inactive	Acrisure LLC	696181	Agent - Casualty	4/28/2016	4/30/2018