DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Koppen, Tamie L	DOIID	817592	NAIC NPN	6959858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/16/2013	9/30/2015
Inactive	Non Resident	Agent	Property	8/16/2013	9/30/2015
* 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	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	8/22/2013	5/11/2015
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	8/22/2013	5/11/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	8/29/2013	10/9/2014
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	8/29/2013	10/9/2014