DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Richards, Tiffany Petagaye	DOIID	1010211	NAIC NPN	17186095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/12/2022		11/30/2024
Active	Non Resident	Agent	Health	5/12/2022		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	12/12/2018	11/30/2020
Active	Accendo Insurance Company	300312	Agent - Life	6/24/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/24/2024
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	11/10/2018	11/30/2020
Active	American General Life Insurance Company	301585	Agent - Health	6/19/2024
Active	American General Life Insurance Company	301585	Agent - Life	6/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/24/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/24/2024
Inactive	Federal Insurance Company	301144	Agent - Health	10/26/2018	11/30/2020
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	5/19/2022	12/11/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	11/7/2018	11/30/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/16/2019	10/4/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	12/27/2018	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/1/2018	11/30/2020
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life