DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hallcy, Tyra Latrivia Ann	DOIID	1075761	NAIC NPN	19431515

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/11/2020	12/17/2021
Inactive	Non Resident	Agent	Health	3/11/2020	12/17/2021
Active	Non Resident	Staff Adjuster	Property & Casualty	2/22/2022		1/31/2025
* 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
Staff Adjuster	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/17/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/17/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/21/2020	12/17/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/17/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021	12/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/8/2020	12/17/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020	12/17/2021
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	6/12/2021	12/17/2021