DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tisics LLC	DOIID	811356	NAIC NPN	16906526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/31/2013	3/8/2017
Inactive	Non Resident	Agent	Life	5/31/2013	3/8/2017
Inactive	Non Resident	Agent	Casualty	5/31/2013	3/8/2017
Inactive	Non Resident	Agent	Health	5/31/2013	3/8/2017
* 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	Great American Assurance Company	300327	Agent - Casualty	8/7/2013	3/8/2017
Inactive	Great American Assurance Company	300327	Agent - Property	8/7/2013	3/8/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tolbert, Thomas William	718536	Agent - Casualty	5/31/2013	3/8/2017
Inactive	Tolbert, Thomas William	718536	Agent - Health	5/31/2013	3/8/2017
Inactive	Tolbert, Thomas William	718536	Agent - Life	5/31/2013	3/8/2017
Inactive	Tolbert, Thomas William	718536	Agent - Property	5/31/2013	3/8/2017