DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mangum, Tina	DOIID	1195594	NAIC NPN	15818594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/25/2022		5/31/2026
Active	Non Resident	Agent	Property	3/25/2022		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	6/3/2025
Active	American Alternative Insurance Corporation	301697	Agent - Property	6/3/2025
Active	Ohio Security Insurance Company	300622	Agent - Casualty	1/9/2025
Active	Ohio Security Insurance Company	300622	Agent - Property	1/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure South Insurance Services LLC	1272242	Agent - Casualty	1/29/2025
Active	Acrisure South Insurance Services LLC	1272242	Agent - Property	1/29/2025
Inactive	Frank H Furman, Inc	744666	Agent - Casualty	6/14/2024	8/27/2025
Inactive	Frank H Furman, Inc	744666	Agent - Property	6/14/2024	8/27/2025