DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gillispie, Tina B	DOIID	793453	NAIC NPN	16798275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	10/31/2012	11/1/2018
Inactive	Resident	Agent	Property	10/31/2012	11/1/2018
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/8/2013	2/7/2017
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/8/2013	2/7/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/12/2015	2/14/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/12/2015	2/14/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/4/2015	2/14/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/4/2015	2/14/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/4/2015	2/14/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/4/2015	2/14/2017
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	6/30/2015	2/8/2017
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	6/30/2015	2/8/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/28/2013	2/14/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/28/2013	2/14/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/28/2013	2/14/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/28/2013	2/14/2017
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	10/4/2017	11/1/2018
Inactive	Kentucky National Insurance Company	301625	Agent - Property	10/4/2017	11/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	3/10/2016	2/8/2017
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	3/10/2016	2/8/2017
Inactive	First Insurance Group Glasgow, Inc.	922640	Agent - Casualty	10/4/2017	1/2/2018
Inactive	First Insurance Group Glasgow, Inc.	922640	Agent - Property	10/4/2017	1/2/2018