DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibbs, Tina	DOIID	682389	NAIC NPN	10933671

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/3/2008	9/1/2010
Inactive	Resident	Agent	Casualty	9/3/2008	9/1/2010
* 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	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	7/9/2009	1/14/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	7/9/2009	1/14/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/27/2008	10/27/2009
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/27/2008	10/27/2009
Denied	Encompass Indemnity Company	546376	Agent - Casualty
Denied	Encompass Indemnity Company	546376	Agent - Property
Denied	Encompass Insurance Company of America	556578	Agent - Casualty
Denied	Encompass Insurance Company of America	556578	Agent - Property
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/13/2009	9/1/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/13/2009	9/1/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/18/2008	1/14/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/18/2008	1/14/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Property	9/18/2008	9/1/2010
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Casualty	9/18/2008	9/1/2010