DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kistler Tiffany Benefits General Agency LLC	DOIID	1074480	NAIC NPN	19363948

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/14/2020		3/31/2026
Active	Non Resident	Agent	Life	2/14/2020		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	3/17/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/29/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/17/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/29/2020
Active	All Savers Insurance Company	301940	Agent - Health	9/5/2025
Active	All Savers Insurance Company	301940	Agent - Life	9/5/2025
Active	Arch Insurance Company	300688	Agent - Health	11/23/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/17/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/17/2025
Active	SilverScript Insurance Company	663526	Agent - Health	11/6/2020
Active	Transamerica Financial Life Insurance Company	301288	Agent - Life	9/11/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/5/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/5/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/5/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/5/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bruckman, Adam D	553893	Agent - Health	2/14/2020
Active	Bruckman, Adam D	553893	Agent - Life	2/14/2020