DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Puentes, Tiffany	DOIID	1142409	NAIC NPN	19960784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/29/2021	12/31/2022
Inactive	Non Resident	Agent	Health	6/29/2021	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	Accendo Insurance Company	300312	Agent - Life	7/23/2021	2/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/23/2021	2/7/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/23/2021	2/7/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/23/2021	2/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	7/28/2021	8/6/2021
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	7/28/2021	8/6/2021