DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cormier, Tiesha	DOIID	954418	NAIC NPN	17629598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	5/15/2017	11/30/2019
Inactive	Non Resident	Agent	Health	9/29/2017	11/30/2019
Inactive	Non Resident	Agent	Life	9/29/2017	11/30/2019
* 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	Dairyland Insurance Company	301370	Agent - Personal Lines	5/24/2017	11/30/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	6/6/2017	8/13/2019
Inactive	National General Insurance Company	300152	Agent - Personal Lines	5/18/2017	7/22/2019
Inactive	National Health Insurance Company	300554	Agent - Health	10/27/2018	11/30/2019
Inactive	National Health Insurance Company	300554	Agent - Life	10/27/2018	11/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National General Ins Marketing Inc	621228	Agent - Personal Lines	5/18/2017	7/19/2019