DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Tiffany Laurell	DOIID	769843	NAIC NPN	16471979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	2/2/2015	2/23/2018
Inactive	Non Resident	Agent	Life	9/20/2021	4/30/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/29/2017	4/30/2018
* 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	GEICO Casualty Company	301178	Agent - Personal Lines	2/16/2015	12/11/2017
Inactive	GEICO General Insurance Company	301684	Agent - Personal Lines	2/16/2015	12/11/2017
Inactive	GEICO Indemnity Company	301720	Agent - Personal Lines	2/16/2015	12/11/2017
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	2/16/2015	12/11/2017
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/2/2022	2/14/2024
Inactive	New York Life Insurance Company	300431	Agent - Life	10/25/2021	9/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	11/2/2022	2/8/2024