DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dougherty, Tyler R	DOIID	1104339	NAIC NPN	19552596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/12/2020	12/31/2022
Inactive	Non Resident	Agent	Life	10/12/2020	12/31/2022
* 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	Aetna Health and Life Insurance Company	300523	Agent - Health	11/3/2020	7/21/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/3/2020	7/21/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/3/2020	8/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/15/2020	8/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	10/15/2020	1/6/2021