DEPARTMENT OF INSURANCE

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	Property	4/15/2016		6/30/2025
Active	Resident	Agent	Health	4/22/2016		6/30/2025
Active	Resident	Agent	Casualty	4/15/2016		6/30/2025
Active	Resident	Agent	Life	4/22/2016		6/30/2025
* 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
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