DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrasquillo, Tiffany	DOIID	870427	NAIC NPN	17117878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/27/2015		10/31/2024
Active	Non Resident	Agent	Casualty	2/27/2015		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/8/2015	12/8/2015
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/8/2015	12/8/2015
Inactive	Rural Community Insurance Company	301891	Agent - Property	3/30/2015	4/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	4/2/2015	4/8/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/8/2015	12/8/2015
Denied	Usi Insurance Services LLC	669260	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty