DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Talley, Tiffany Waechter	DOIID	1278491	NAIC NPN	20723201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/6/2023		10/31/2025
Active	Non Resident	Agent	Property	6/6/2023		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Independence American Insurance Company	524747	Agent - Casualty	9/11/2023	12/16/2024
Inactive	Independence American Insurance Company	524747	Agent - Property	9/11/2023	12/16/2024
Active	North River Insurance Company (The)	301739	Agent - Casualty	7/14/2023
Active	North River Insurance Company (The)	301739	Agent - Property	7/14/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	7/14/2023
Active	United States Fire Insurance Company	582240	Agent - Property	7/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PTZ Insurance Agency LTD	695420	Agent - Casualty	7/14/2023
Active	PTZ Insurance Agency LTD	695420	Agent - Property	7/14/2023