DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Chelsea Leigh	DOIID	893087	NAIC NPN	17716947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/24/2021	3/23/2022
Inactive	Non Resident	Agent	Health	9/25/2015	9/30/2018
Inactive	Non Resident	Agent	Property	1/24/2021	3/23/2022
* 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	Progressive Direct Insurance Company	301379	Agent - Casualty	1/28/2021	5/3/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/28/2021	5/3/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/25/2015	3/31/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	3/31/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/25/2015	12/21/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/25/2015	3/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	2/1/2021	5/3/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/1/2021	5/3/2021