DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrell, Tina M	DOIID	752247	NAIC NPN	3517564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	5/17/2011	5/5/2015
Inactive	Non Resident	Agent	Casualty	5/17/2011	5/5/2015
Inactive	Non Resident	Agent	Property	5/17/2011	5/5/2015
Inactive	Non Resident	Agent	Life	5/17/2011	5/5/2015
Inactive	Non Resident	Agent	Health	5/17/2011	5/5/2015
Denied	Non Resident	Life & Health Consultant	Not Applicable
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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	Bristol West Insurance Company	301655	Agent - Casualty	11/22/2013	5/5/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/22/2013	5/5/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2011	7/18/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2011	7/18/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/30/2013	5/5/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/30/2013	5/5/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/22/2011	6/20/2014
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/22/2011	6/20/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/6/2011	5/5/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/6/2011	5/5/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2011	5/5/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2011	5/5/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/23/2013	8/15/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/23/2013	8/15/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	8/10/2011	5/5/2015
Denied	Regions Insurance, Inc.	502037	Agent - Health
Denied	Regions Insurance, Inc.	502037	Agent - Life
Inactive	Regions Insurance, Inc.	502037	Agent - Property	8/10/2011	5/5/2015