DEPARTMENT OF INSURANCE
Affiliations
NameRichards, Tiffany PetagayeDOIID1010211NAIC NPN17186095
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth5/12/202211/30/2024 
InactiveNon ResidentAgentLife5/12/202211/30/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Health12/12/201811/30/2020
InactiveAccendo Insurance Company300312Agent - Life6/24/202411/30/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health6/24/202411/30/2024
InactiveAmerican Financial Security Life Insurance Co.301635Agent - Health11/10/201811/30/2020
InactiveAmerican General Life Insurance Company301585Agent - Health6/19/202411/30/2024
InactiveAmerican General Life Insurance Company301585Agent - Life6/19/202411/30/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/24/202411/30/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/24/202411/30/2024
InactiveFederal Insurance Company301144Agent - Health10/26/201811/30/2020
InactiveGreat Southern Life Insurance Company301443Agent - Health5/19/202212/11/2023
InactiveLifeShield National Insurance Company737111Agent - Health11/7/201811/30/2020
InactiveNational Guardian Life Insurance Company300596Agent - Health1/16/201910/4/2019
InactiveUnified Life Insurance Company543169Agent - Health12/27/201810/22/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Plan Intermediaries Holdings786463Agent - Health12/1/201811/30/2020
DeniedHealth Plan Intermediaries Holdings786463Agent - Life  

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