DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Tia Lynn	DOIID	540471	NAIC NPN	6372729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/17/2023		4/30/2026
Active	Non Resident	Agent	Property	7/17/2023		4/30/2026
* 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
Inactive	Permanent General Assurance Corporation	300883	Agent - Casualty	7/21/2023	1/8/2024
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/8/2024	2/16/2024
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	11/1/2001	8/19/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	8/1/2023	2/16/2024
Inactive	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	8/1/2023	2/16/2024