DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tryba, Tara Jean	DOIID	873767	NAIC NPN	17521336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/2/2019		7/31/2024
Active	Non Resident	Agent	Property	7/2/2019		7/31/2024
Inactive	Non Resident	Agent	Travel	4/1/2015	6/19/2019
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/13/2019	9/6/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/13/2019	9/6/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	7/8/2019	3/28/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	7/8/2019	3/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/13/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/13/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Travel	4/16/2015	6/19/2019
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	7/8/2019	3/28/2023
Inactive	Sentry Select Insurance Company	301648	Agent - Property	7/8/2019	3/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker Stevens Agency LLC	558419	Agent - Casualty	1/7/2022	8/16/2023
Inactive	Parker Stevens Agency LLC	558419	Agent - Property	1/7/2022	8/16/2023
Inactive	Travel Guard Group Inc.	396290	Agent - Travel	3/3/2016	6/19/2019