DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chase, Tina Marie	DOIID	595883	NAIC NPN	3195465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/20/2004	7/31/2006
Inactive	Non Resident	Agent	Health	9/20/2004	7/31/2006
Inactive	Non Resident	Agent	Property	9/20/2004	7/31/2006
Inactive	Non Resident	Agent	Casualty	9/20/2004	7/31/2006
* 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	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	10/27/2004	7/21/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	10/27/2004	7/21/2005
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/8/2004	3/21/2006
Inactive	First National Insurance Company of America	301690	Agent - Property	10/8/2004	3/21/2006
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/8/2004	3/21/2006
Inactive	General Insurance Company of America	300261	Agent - Property	10/8/2004	3/21/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/8/2004	3/21/2006
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/8/2004	3/21/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/8/2004	3/21/2006
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/8/2004	3/21/2006
Inactive	Tesla Insurance Company	300337	Agent - Casualty	10/4/2004	8/16/2005
Inactive	Tesla Insurance Company	300337	Agent - Property	10/4/2004	8/16/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	11/3/2004	7/25/2005
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	11/3/2004	7/25/2005