DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tina, Joseph	DOIID	1354379	NAIC NPN	15729324

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/7/2024		7/31/2026
Active	Non Resident	Agent	Casualty	8/7/2024		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/25/2024		7/31/2026
* 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	05/15/2026	07/31/2026
Surplus Lines Broker	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Federated Mutual Insurance Company	301106	Agent - Casualty	2/3/2025
Active	Federated Mutual Insurance Company	301106	Agent - Property	2/3/2025
Active	Hiscox Insurance Company Inc.	300894	Agent - Casualty	9/10/2024
Active	Hiscox Insurance Company Inc.	300894	Agent - Property	9/10/2024
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	12/10/2024
Active	State National Insurance Company, Inc.	300888	Agent - Property	12/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hiscox Inc	622105	Agent - Casualty	9/10/2024
Active	Hiscox Inc	622105	Agent - Property	9/10/2024