DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Funchess, Tawanilet	DOIID	871481	NAIC NPN	10990858

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/9/2015	3/2/2017
Inactive	Non Resident	Agent	Casualty	3/9/2015	3/2/2017
Active	Non Resident	Independent Adjuster	Property & Casualty	10/27/2017		1/31/2026
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/18/2015	4/22/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/18/2015	4/22/2015
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/18/2015	4/22/2015
Inactive	LM General Insurance Company	300133	Agent - Property	3/18/2015	4/22/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/18/2015	4/22/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	3/18/2015	4/22/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/18/2015	4/22/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/18/2015	4/22/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/18/2015	4/22/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/18/2015	4/22/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/18/2015	4/22/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/18/2015	4/22/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/24/2015	3/2/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/24/2015	3/2/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/24/2015	3/2/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/24/2015	3/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	3/18/2015	4/9/2015
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	3/18/2015	4/9/2015
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	7/27/2016	3/2/2017