DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tanguay, Kimberly Ann	DOIID	545196	NAIC NPN	6998361

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/10/2006	5/31/2012
Inactive	Non Resident	Agent	Life	2/15/2002	5/31/2012
* 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	Amica Life Insurance Company	301676	Agent - Life	2/15/2002	10/20/2011
Inactive	C.M. Life Insurance Company	301335	Agent - Health	7/24/2006	10/24/2011
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/9/2006	10/24/2011
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/24/2006	10/24/2011
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/9/2006	10/24/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - Life	9/14/2006	10/20/2011
Inactive	Amica General Agency, LLC	509383	Agent - Health	9/14/2006	10/20/2011