DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Perhala, Tiffaney Taylor	DOIID	876311	NAIC NPN	7906613

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/27/2015	1/31/2021
Inactive	Non Resident	Agent	Health	4/27/2015	1/31/2021
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	11/5/2015	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/12/2015	5/12/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/12/2015	5/12/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/3/2015	1/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/3/2015	1/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/3/2015	1/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/3/2015	1/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Empyrean Insurance Services, Inc.	662906	Agent - Health	6/3/2015	2/12/2019
Inactive	Empyrean Insurance Services, Inc.	662906	Agent - Life	6/3/2015	2/12/2019