DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Banks, Tara A	DOIID	765145	NAIC NPN	16291465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/29/2011	6/30/2013
Inactive	Non Resident	Agent	Casualty	9/29/2011	6/30/2013
* 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	Dairyland Insurance Company	301370	Agent - Casualty	11/14/2011	6/30/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/14/2011	6/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/31/2012	6/30/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/31/2012	6/30/2013
Inactive	National General Insurance Company	300152	Agent - Casualty	10/5/2011	4/11/2012
Inactive	National General Insurance Company	300152	Agent - Property	10/5/2011	4/11/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/30/2011	4/24/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/30/2011	4/24/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/30/2011	4/24/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/30/2011	4/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CWI, LLC	662170	Agent - Casualty	11/7/2011	4/16/2012
Inactive	CWI, LLC	662170	Agent - Property	11/7/2011	4/16/2012
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/7/2011	5/9/2013
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/7/2011	5/9/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	11/14/2011	4/23/2012
Inactive	National General Ins Marketing Inc	621228	Agent - Property	11/14/2011	4/23/2012