DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fetzer, Tyler Jessica	DOIID	883203	NAIC NPN	17329137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/14/2015	12/31/2022
Inactive	Non Resident	Agent	Property	7/14/2015	12/31/2022
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/21/2017	12/21/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/21/2017	12/21/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/10/2016	12/31/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	3/10/2016	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Property	3/10/2016	5/25/2021
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	3/10/2016	5/25/2021