DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mcclellan, Tiffany Ann	DOIID	982228	NAIC NPN	16115585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/22/2018		5/31/2027
Active	Non Resident	Agent	Life	1/22/2018		5/31/2027
* 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
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/2/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Edgewood Partners Insurance Center	549891	Agent - Life
Denied	Edgewood Partners Insurance Center	549891	Agent - Health