DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wells, Tina	DOIID	869010	NAIC NPN	12762056

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/13/2015	8/2/2016
Inactive	Non Resident	Agent	Property	2/13/2015	8/2/2016
* 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	Cincinnati Insurance Company	301298	Agent - Casualty	3/2/2015	8/15/2016
Inactive	Cincinnati Insurance Company	301298	Agent - Property	3/2/2015	8/15/2016
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/10/2015	8/2/2016
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	3/10/2015	8/2/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	3/2/2015	5/4/2016
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	3/2/2015	5/4/2016