DEPARTMENT OF INSURANCE

Affiliations

Name	Tilley, Donna Rebecca	DOIID	382219	NAIC NPN	392402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/7/2003	7/31/2008
Inactive	Non Resident	Agent	Health	2/9/2009	6/14/2010
Inactive	Non Resident	Agent	Life	2/9/2009	6/14/2010
Inactive	Non Resident	Agent	Property	8/7/2003	7/31/2008
* 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
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	10/13/2003	4/12/2006
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	10/13/2003	4/12/2006
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	4/10/2000	9/5/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	4/10/2000	9/5/2003
Inactive	American Security Insurance Company	300901	Agent - Health	4/3/2000	11/13/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Health	5/30/2000	6/29/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	5/30/2000	6/29/2004
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	10/15/2002	9/22/2003
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	10/15/2002	9/22/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/20/2009	6/14/2010
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	5/31/1996	12/14/2001
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/31/1996	12/14/2001
Inactive	Revol One Insurance Company	300681	Agent - Health	5/14/2003	1/27/2005
Inactive	Revol One Insurance Company	300681	Agent - Life	5/14/2003	1/27/2005
Inactive	Sears Life Insurance Company	300218	Agent - Health	6/19/2000	7/1/2008
Inactive	Sears Life Insurance Company	300218	Agent - Life	6/19/2000	7/1/2008
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	2/25/2009	12/31/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	2/25/2009	12/31/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/25/2009	12/31/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/25/2009	12/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	2/27/2001	11/13/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	2/27/2001	11/13/2002
Inactive	Union Security Life Insurance Company	300903	Agent - Health	4/3/2000	9/5/2003
Inactive	Union Security Life Insurance Company	300903	Agent - Life	4/3/2000	9/5/2003
Inactive	Veterans Life Insurance Company	300589	Agent - Health	4/3/2000	12/14/2001
Inactive	Veterans Life Insurance Company	300589	Agent - Life	4/3/2000	12/14/2001
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	4/3/2000	12/9/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Life	9/8/2003	7/1/2008
Inactive	Global Contact Services	546831	Agent - Health	9/8/2003	7/31/2008
Inactive	Global Contact Services	546831	Agent - Casualty	12/12/2003	4/12/2006
Inactive	Global Contact Services	546831	Agent - Property	12/12/2003	4/12/2006
Inactive	TeleSpectrum, Inc	512199	Agent - Life	7/31/2000	6/10/2002
Inactive	TeleSpectrum, Inc	512199	Agent - Health	7/31/2000	6/10/2002
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	3/13/2009	12/28/2009
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	3/13/2009	12/28/2009