DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tumpak, Tina Dara	DOIID	1034973	NAIC NPN	19081791

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/2/2019	12/6/2024
Inactive	Non Resident	Agent	Casualty	4/2/2019	12/6/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	11/5/2020		12/31/2025
* 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
Independent Adjuster	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independence American Insurance Company	524747	Agent - Casualty	3/26/2024	12/6/2024
Inactive	Independence American Insurance Company	524747	Agent - Property	3/26/2024	12/6/2024
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	4/23/2019	12/6/2024
Inactive	United States Fire Insurance Company	582240	Agent - Property	4/23/2019	12/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022	12/6/2024
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022	12/6/2024
Active	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	3/2/2023