DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Collin Michael	DOIID	1183562	NAIC NPN	20208002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	2/11/2022	8/31/2027
Active	Resident	Agent	Health	2/11/2022	8/31/2027
Active	Resident	Agent	Life	2/18/2022	8/31/2027
Active	Resident	Agent	Property	2/9/2022	8/31/2027
* 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	06/15/2025	08/31/2025	07/03/2025	07/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	1/5/2023	10/2/2023
Inactive	AAA Life Insurance Company	300287	Agent - Life	1/5/2023	10/2/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	1/21/2023	9/29/2023
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	1/21/2023	9/29/2023
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	1/21/2023	9/29/2023
Inactive	CSAA General Insurance Company	606675	Agent - Property	1/21/2023	9/29/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/8/2023	10/14/2023
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/8/2023	10/14/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/23/2023	9/29/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/23/2023	9/29/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/23/2023	9/29/2023
Inactive	Grange Insurance Company	300234	Agent - Property	3/23/2023	9/29/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/23/2023	9/29/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/23/2023	9/29/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/17/2022	10/20/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/17/2022	10/20/2022
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/21/2022	10/20/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/17/2022	10/20/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/17/2022	10/20/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/23/2023	9/29/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/23/2023	9/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	1/21/2023	9/27/2023
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	1/21/2023	9/27/2023
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Life	1/5/2023	9/27/2023
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Health	1/5/2023	9/27/2023