DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Albin, Tara	DOIID	893042	NAIC NPN	16689180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	9/25/2015		10/31/2025
Pending Replacement	Non Resident	Agent	Casualty	9/25/2015		10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/2/2022		10/31/2025
* 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
Pending Replacement	Zurich American Insurance Company	301121	Agent - Casualty	3/1/2018
Pending Replacement	Zurich American Insurance Company	301121	Agent - Property	3/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	3/8/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	3/8/2018	1/7/2020
Pending Replacement	Willis Towers Watson Midwest, Inc.	534348	Agent - Property	1/30/2020
Pending Replacement	Willis Towers Watson Midwest, Inc.	534348	Agent - Casualty	1/30/2020
Active	Willis Towers Watson Midwest, Inc.	534348	Surplus Lines Broker - Not Applicable	2/16/2022