DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Brian David	DOIID	912042	NAIC NPN	17904369

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/22/2016		6/30/2027
Active	Resident	Agent	Casualty	4/15/2016		6/30/2027
Active	Resident	Agent	Property	4/15/2016		6/30/2027
Active	Resident	Agent	Health	4/22/2016		6/30/2027
* 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	04/15/2025	06/30/2025	04/18/2025	04/18/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Banner Life Insurance Company	301696	Agent - Life	9/20/2022
Active	Florists' Mutual Insurance Company	300484	Agent - Casualty	10/10/2023
Active	Florists' Mutual Insurance Company	300484	Agent - Property	10/10/2023
Active	Middlesex Insurance Company	590568	Agent - Casualty	4/26/2016
Active	Middlesex Insurance Company	590568	Agent - Property	4/26/2016
Active	Sentry Casualty Company	590569	Agent - Casualty	4/26/2016
Active	Sentry Casualty Company	590569	Agent - Property	4/26/2016
Active	Sentry Insurance Company	300222	Agent - Casualty	4/26/2016
Active	Sentry Insurance Company	300222	Agent - Property	4/26/2016
Active	Sentry Life Insurance Company	301461	Agent - Health	4/26/2016
Active	Sentry Life Insurance Company	301461	Agent - Life	4/26/2016
Active	Sentry Select Insurance Company	301648	Agent - Casualty	4/26/2016
Active	Sentry Select Insurance Company	301648	Agent - Property	4/26/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Parker Stevens Agency LLC	558419	Agent - Casualty	1/10/2022
Active	Parker Stevens Agency LLC	558419	Agent - Property	1/10/2022