DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lala, Teresa Dawn	DOIID	878640	NAIC NPN	3168488

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/21/2015		10/31/2024
Active	Non Resident	Agent	Property	5/21/2015		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
Active	United States Fire Insurance Company	582240	Agent - Casualty	8/11/2015
Active	United States Fire Insurance Company	582240	Agent - Property	8/11/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Property	8/11/2015	6/21/2023
Inactive	Crum & Forster Insurance Brokers, Inc.	570764	Agent - Casualty	8/11/2015	6/21/2023