DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilfork, Tashea	DOIID	1063059	NAIC NPN	19289686

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/28/2019	2/28/2022
Inactive	Non Resident	Agent	Life	10/28/2019	2/28/2022
* 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
Inactive	Accendo Insurance Company	300312	Agent - Life	5/12/2021	2/28/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	5/12/2021	2/28/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	4/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/4/2020	4/28/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/12/2021	2/28/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/12/2021	2/28/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/11/2020	4/28/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/11/2020	4/28/2021