DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burns, Tamisa Lyn	DOIID	1045510	NAIC NPN	19209027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/2/2019		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/11/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/22/2023	7/15/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/19/2019	4/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/22/2023	7/15/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2023	7/15/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/5/2019	7/29/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	8/5/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/11/2020	4/30/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/7/2019	3/31/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/22/2023	7/15/2024
Active	SiriusPoint America Insurance Company	301148	Agent - Health	1/6/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/2/2019	3/30/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	3/30/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/2/2019	3/30/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/2/2019	3/30/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/23/2019	12/28/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/23/2019	9/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	11/10/2023	3/12/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/16/2019	7/29/2020
Inactive	Sidecar Health Insurance Solutions LLC	1027229	Agent - Health	12/28/2021	7/31/2023
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/10/2019	2/13/2020