DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Costello, Tiffany	DOIID	1162914	NAIC NPN	14185935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/29/2021	1/31/2023
Inactive	Non Resident	Agent	Casualty	9/29/2021	1/31/2023
Inactive	Non Resident	Reinsurance Intermediary Broker	Not Applicable	10/1/2021	1/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Administrative Services Corporation	394874	Agent - Casualty	10/20/2021	7/8/2022
Inactive	Willis Administrative Services Corporation	394874	Agent - Property	10/20/2021	7/8/2022
Inactive	Willis Administrative Services Corporation	394874	Reinsurance Intermediary Broker - Not Applicable	12/2/2021	8/29/2022