DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Tracey	DOIID	750077	NAIC NPN	9424460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/16/2011	8/31/2015
Inactive	Non Resident	Agent	Property	3/16/2011	8/31/2015
* 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	Encompass Indemnity Company	546376	Agent - Casualty	5/20/2011	8/31/2015
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/20/2011	8/31/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/20/2011	8/31/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/20/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/4/2013	5/6/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/4/2013	5/6/2014
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/5/2014	8/31/2015
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/5/2014	8/31/2015
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property	5/20/2011	6/4/2013
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty	5/20/2011	6/4/2013