DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rafferty, Tammy	DOIID	970215	NAIC NPN	18545829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/29/2017		12/31/2024
Active	Non Resident	Agent	Property	6/2/2021		12/31/2024
Active	Non Resident	Agent	Health	9/29/2017		12/31/2024
Active	Non Resident	Agent	Casualty	6/2/2021		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	12/30/2017
Active	Continental American Insurance Company	301700	Agent - Life	12/30/2017
Active	Old Republic Insurance Company	301225	Agent - Casualty	9/29/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/29/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/29/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/29/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/29/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/28/2019
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/28/2019