DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bay, Tabbatha Marie	DOIID	1088828	NAIC NPN	19359238

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/10/2020	8/31/2021
Inactive	Non Resident	Agent	Property	7/10/2020	8/31/2021
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	7/21/2020	10/30/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/21/2020	10/30/2020
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	7/22/2020	12/2/2020
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	7/22/2020	12/2/2020
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	7/22/2020	12/2/2020
Inactive	CSAA General Insurance Company	606675	Agent - Property	7/22/2020	12/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	7/21/2020	12/2/2020
Inactive	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	7/21/2020	12/2/2020