DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rosa, Tatiana	DOIID	1163746	NAIC NPN	20089428

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	12/14/2021	3/1/2024
Inactive	Resident	Agent	Health	11/4/2021	3/1/2024
Inactive	Resident	Agent	Property	12/16/2021	3/1/2024
Inactive	Resident	Agent	Life	11/4/2021	3/1/2024
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/5/2022	6/6/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/5/2022	6/6/2022
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/9/2021	6/6/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/5/2022	6/6/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/9/2021	6/6/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/7/2023	3/8/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/7/2023	3/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	2/7/2023	3/8/2023
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	2/7/2023	3/8/2023