DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Havelka, Tiffanie K	DOIID	687665	NAIC NPN	8004012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/24/2008	11/30/2016
Inactive	Non Resident	Agent	Casualty	8/24/2008	11/30/2016
Inactive	Non Resident	Agent	Life	8/24/2008	11/30/2016
Inactive	Non Resident	Agent	Health	8/24/2008	11/30/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/30/2011	5/19/2015
Inactive	ACE American Insurance Company	300625	Agent - Health	9/27/2011	5/19/2015
Inactive	ACE American Insurance Company	300625	Agent - Property	8/30/2011	5/19/2015
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/6/2012	12/17/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/6/2012	12/17/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/22/2010	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/22/2010	12/21/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of Minnesota, Inc.	569739	Agent - Health	10/12/2011	3/27/2015
Inactive	Willis of Minnesota, Inc.	569739	Agent - Life	1/12/2012	12/17/2014
Inactive	Willis of Minnesota, Inc.	569739	Agent - Property	11/22/2010	3/27/2015
Inactive	Willis of Minnesota, Inc.	569739	Agent - Casualty	11/22/2010	3/27/2015