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DEPARTMENT OF INSURANCE
Affiliations
Name
Chafa, Tia
DOIID
1002094
NAIC NPN
18850981
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
7/23/2018
11/24/2021
Inactive
Non Resident
Agent
Health
7/23/2018
11/24/2021
* 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
Continental American Insurance Company
301700
Agent - Health
8/15/2018
9/2/2021
Inactive
Continental American Insurance Company
301700
Agent - Life
8/15/2018
9/2/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Health
2/1/2019
9/2/2021
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Life
2/1/2019
9/2/2021
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