DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dern, Tyler	DOIID	765554	NAIC NPN	6903070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/3/2011	7/31/2017
Inactive	Non Resident	Agent	Property	10/3/2011	7/31/2017
* 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	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/28/2011	5/14/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/28/2011	5/14/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	12/7/2011	5/14/2013
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	12/7/2011	5/14/2013