DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackaby, Tiffany Dawn	DOIID	959387	NAIC NPN	18463713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/28/2017	6/1/2022
Inactive	Resident	Agent	Property	7/28/2020	6/1/2022
Inactive	Resident	Agent	Health	8/21/2017	6/1/2022
Inactive	Resident	Agent	Casualty	6/19/2020	6/1/2022
Inactive	Resident	Temporary Agent	Property	5/22/2020	6/20/2020
Inactive	Resident	Temporary Agent	Casualty	5/22/2020	6/20/2020
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/19/2020	2/10/2021
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/28/2020	2/10/2021
Inactive	State Farm Fire and Casualty Company	301809	Temporary Agent - Casualty	5/22/2020	6/20/2020
Inactive	State Farm Fire and Casualty Company	301809	Temporary Agent - Property	5/22/2020	6/20/2020
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/25/2017	2/10/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/19/2020	2/10/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/31/2017	2/10/2021
Inactive	State Farm Mutual Automobile Insurance Company	301732	Temporary Agent - Casualty	5/22/2020	6/20/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/21/2022	6/1/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/21/2022	6/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Health	12/21/2018	2/10/2021
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Life	12/21/2018	2/10/2021