DEPARTMENT OF INSURANCE
Affiliations
NameWiley, Tina MarieDOIID1311018NAIC NPN18553821
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/16/2023 9/30/2025
ActiveNon ResidentAgentProperty11/16/2023 9/30/2025
ActiveNon ResidentAgentLife11/16/2023 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllstate Indemnity Company300778Agent - Casualty3/5/2025 
ActiveAllstate Indemnity Company300778Agent - Property3/5/2025 
ActiveAllstate Insurance Company300773Agent - Casualty3/5/2025 
ActiveAllstate Insurance Company300773Agent - Property3/5/2025 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty3/5/2025 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property3/5/2025 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty3/5/2025 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property3/5/2025 
ActiveDirect General Life Insurance Company301045Agent - Life11/17/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/25/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/25/2024 
ActiveIntegon General Insurance Corporation301186Agent - Casualty2/24/2025 
ActiveIntegon General Insurance Corporation301186Agent - Property2/24/2025 
ActiveIntegon Indemnity Corporation300674Agent - Casualty1/15/2025 
ActiveIntegon Indemnity Corporation300674Agent - Property1/15/2025 
ActiveNational General Insurance Company300152Agent - Casualty11/17/2023 
ActiveNational General Insurance Company300152Agent - Property11/17/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAffinity Brokerage, LLC544886Agent - Casualty12/20/2023 
ActiveAffinity Brokerage, LLC544886Agent - Property12/20/2023 
InactiveCWI, LLC662170Agent - Casualty12/20/20234/29/2024
InactiveCWI, LLC662170Agent - Property12/20/20234/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Casualty12/21/20234/29/2024
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Property12/21/20234/29/2024
ActiveDirect General Insurance Agency Inc1018980Agent - Casualty12/22/2023 
ActiveDirect General Insurance Agency Inc1018980Agent - Life12/22/2023 
ActiveDirect General Insurance Agency Inc1018980Agent - Property12/22/2023 
ActiveNational General Ins Marketing Inc621228Agent - Casualty12/21/2023 
ActiveNational General Ins Marketing Inc621228Agent - Life12/21/2023 
ActiveNational General Ins Marketing Inc621228Agent - Property12/21/2023 

© Commonwealth of Kentucky. All rights reserved.