DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Collins, Raymond M	DOIID	584122	NAIC NPN	3014153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/9/2004	5/31/2013
Inactive	Non Resident	Agent	Property	2/9/2004	5/31/2013
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/18/2006	2/1/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/18/2006	2/1/2011
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	2/9/2004	9/12/2011
Inactive	Government Employees Insurance Company	300376	Agent - Property	2/9/2004	9/12/2011
Inactive	National Indemnity Company	301929	Agent - Casualty	2/25/2008	12/7/2009
Inactive	National Indemnity Company	301929	Agent - Property	2/25/2008	12/7/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	2/25/2004	9/12/2011
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	2/25/2004	9/12/2011