DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Holley, Tanisha Dominic	DOIID	1186034	NAIC NPN	20005294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Travel	2/2/2022		11/30/2026
Active	Non Resident	Agent	Property	2/2/2022		11/30/2026
Active	Non Resident	Agent	Health	2/2/2022		11/30/2026
Active	Non Resident	Agent	Life	2/2/2022		11/30/2026
Active	Non Resident	Agent	Casualty	2/2/2022		11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024	10/03/2024	10/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Generali - U.S. Branch	301128	Agent - Casualty	3/3/2022
Active	Generali - U.S. Branch	301128	Agent - Property	3/3/2022
Active	Generali - U.S. Branch	301128	Agent - Travel	3/3/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/1/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/17/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	3/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dan Services Inc	505500	Agent - Casualty	3/7/2022
Active	Dan Services Inc	505500	Agent - Health	3/7/2022
Active	Dan Services Inc	505500	Agent - Travel	3/7/2022
Active	Dan Services Inc	505500	Agent - Property	3/7/2022