DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Tiffany ErinDOIID1054470NAIC NPN19109021
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/3/2019 10/31/2026
ActiveNon ResidentAgentLife9/3/2019 10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202610/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health7/10/202311/17/2023
InactiveAccendo Insurance Company300312Agent - Life12/20/202212/19/2025
ActiveAetna Health Inc. (PA)660717Agent - Health1/17/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health7/10/202312/19/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health10/26/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/17/2020 
InactiveAmerican Continental Insurance Company643130Agent - Life9/12/20198/11/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/30/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
ActiveArcadian Health Plan, Inc.728196Agent - Health4/28/2023 
InactiveBankers Fidelity Assurance Company554627Agent - Health1/16/202010/11/2022
InactiveBankers Fidelity Life Insurance Company300193Agent - Health1/16/202010/11/2022
InactiveBankers Fidelity Life Insurance Company300193Agent - Life1/16/202010/11/2022
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCompBenefits Insurance Company301864Agent - Health10/24/2025 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health7/10/202312/19/2025
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/10/202312/19/2025
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/20/2025 
InactiveGPM Health and Life Insurance Company927255Agent - Health9/3/201911/22/2022
ActiveGolden Rule Insurance Company301943Agent - Health1/30/2024 
ActiveGolden Rule Insurance Company301943Agent - Life1/30/2024 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/8/2022 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health8/7/2025 
ActiveHumana Insurance Company301104Agent - Health8/18/2025 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/31/2023 
InactiveMutual of Omaha Insurance Company301012Agent - Health9/3/20191/23/2023
ActiveSilverScript Insurance Company663526Agent - Health1/17/2020 
InactiveUnited American Insurance Company300910Agent - Health3/12/202112/19/2022
InactiveUnited American Insurance Company300910Agent - Life3/12/202112/19/2022
InactiveUnited World Life Insurance Company300532Agent - Health9/3/20191/23/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/3/20191/23/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/3/20191/23/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/15/2021 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/15/202112/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/15/202112/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/15/2021 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/15/2025 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health2/14/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/10/20203/8/2021
InactiveDesignated Agent Company Inc.681257Agent - Health6/10/20203/8/2021

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