DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tippett Moorhead & Haden, An Alera Group Agency, LLC	DOIID	1089876	NAIC NPN	18728592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2020		3/31/2026
Active	Non Resident	Agent	Life	7/20/2020		3/31/2026
* 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
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/6/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/6/2023
Active	Pacific Life Insurance Company	301848	Agent - Health	4/28/2021
Active	Pacific Life Insurance Company	301848	Agent - Life	4/28/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Haden, Benjamin Taylor	1087976	Agent - Health
Denied	Haden, Benjamin Taylor	1087976	Agent - Life
Active	Levitz, Alan J	312664	Agent - Health	7/20/2020
Active	Levitz, Alan J	312664	Agent - Life	7/20/2020
Denied	Moorhead, Michael Curtis	1239507	Agent - Health
Denied	Moorhead, Michael Curtis	1239507	Agent - Life
Denied	Tippett, Blake Huntington	1239665	Agent - Health
Denied	Tippett, Blake Huntington	1239665	Agent - Life