DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pelka, Tiffanie	DOIID	1039605	NAIC NPN	19088201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/1/2021		4/30/2026
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	3/15/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/15/2022	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/9/2023	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	3/15/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	3/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TZ Insurance Solutions LLC	727470	Agent - Health	3/19/2025
Inactive	Trubridge Inc	717747	Agent - Health	3/18/2024	5/2/2024