DEPARTMENT OF INSURANCE

Name	Haynes, Tamara Marie	DOIID	378773	NAIC NPN	7204025

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Adjuster	Independent	5/30/1999	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	7/23/1998	5/30/1999
Active	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010		4/30/2025	Kentucky

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Mailing	5287 Ironwood Lane Plainfield, IN 46168
Residence	Not Public Information
Business / Home Office	200 Colonial Center Pkwy Lake Mary, FL 327464705

Internet Information

Type	Address
Business Email	Tamara.haynes@thehartford.com

Phone Information

Type	Phone
Business / Home Office	(877) 952-9222 Ext-31102