DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Schmidt, Tiffany Autumn	DOIID	654577	NAIC NPN	9237660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/9/2010		6/30/2026
Active	Resident	Agent	Health	11/9/2010		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
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/19/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/19/2013	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/19/2013	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/4/2011	7/19/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/4/2011	7/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/19/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/19/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Midwest LLC	517736	Agent - Health	9/19/2013	8/14/2015
Inactive	USI Midwest LLC	517736	Agent - Life	9/19/2013	8/14/2015
Denied	Usi Insurance Services LLC	669260	Agent - Health
Denied	Usi Insurance Services LLC	669260	Agent - Life