DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Tiffany C	DOIID	809066	NAIC NPN	16473861

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/30/2013	3/31/2021
Inactive	Non Resident	Agent	Life	4/30/2013	3/31/2021
* 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	Boston Mutual Life Insurance Company	300143	Agent - Health	5/3/2013	3/31/2021
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	5/3/2013	3/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/19/2015	3/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/19/2015	3/31/2021
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/10/2013	1/14/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/19/2015	3/31/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/19/2015	3/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Health	6/17/2013	6/20/2019
Inactive	Willis Towers Watson Southeast Inc	399919	Agent - Life	6/17/2013	6/20/2019