DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Conklin, Tara L	DOIID	1193351	NAIC NPN	7152564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/14/2022		3/31/2026
Active	Non Resident	Agent	Casualty	3/14/2022		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 Mutual Insurance Company	301749	Agent - Casualty	9/12/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	9/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rivian Insurance Services, LLC	1122349	Agent - Casualty	9/12/2022
Active	Rivian Insurance Services, LLC	1122349	Agent - Property	9/12/2022