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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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	4/17/2025
Inactive	Trubridge Inc	717747	Agent - Health	3/18/2024	5/2/2024