DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Tamela Ann	DOIID	1159345	NAIC NPN	19022118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/28/2021		6/30/2026
Active	Resident	Agent	Life	11/2/2021		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/27/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/27/2025
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/1/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/1/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/10/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/28/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2023	4/15/2025
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/26/2022	2/13/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/26/2022	2/13/2024
Active	Combined Insurance Company of America	301472	Agent - Health	6/6/2023
Active	Combined Insurance Company of America	301472	Agent - Life	6/6/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2023
Active	Humana Insurance Company	301104	Agent - Health	12/7/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/27/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	8/28/2023