DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gaston, Tia Marie	DOIID	1258882	NAIC NPN	8278421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/1/2023		12/31/2024
Active	Non Resident	Agent	Property	3/1/2023		12/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/6/2023		12/31/2024
* 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	10/15/2024	12/31/2024
Surplus Lines Broker	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	QBE Insurance Corporation	300515	Agent - Casualty	5/25/2023
Active	QBE Insurance Corporation	300515	Agent - Property	5/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alliant Insurance Services, Inc.	551378	Agent - Casualty	9/7/2023
Active	Alliant Insurance Services, Inc.	551378	Agent - Property	9/7/2023
Active	Alliant Insurance Services, Inc.	551378	Surplus Lines Broker - Not Applicable	9/7/2023
Active	EQ One Insurance Services, LLC	705707	Agent - Casualty	5/25/2023
Active	EQ One Insurance Services, LLC	705707	Agent - Property	5/25/2023
Active	EQ One Insurance Services, LLC	705707	Surplus Lines Broker - Not Applicable	5/4/2023