DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Tiesha Monique	DOIID	1087473	NAIC NPN	19084323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/26/2020	9/30/2025
Active	Non Resident	Agent	Health	6/26/2020	9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/18/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	8/18/2023	6/15/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/17/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/18/2023	6/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/17/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/17/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/8/2020	10/28/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/8/2020	10/28/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/22/2023	4/11/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/22/2023	4/11/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/22/2023	4/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/31/2021	2/19/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/31/2021	2/19/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	4/18/2024	5/21/2024
Inactive	CMFG Life Insurance Company	300929	Agent - Life	4/18/2024	5/21/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/26/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/22/2023	4/11/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/18/2023	6/15/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/18/2023	6/15/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	3/13/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	3/13/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/20/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/14/2020	8/23/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/17/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/26/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/27/2022	10/17/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/26/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/30/2023	6/18/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/8/2020	12/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ensurem II LLC	908041	Agent - Life	6/14/2022	11/1/2022
Inactive	Ensurem II LLC	908041	Agent - Health	6/14/2022	11/1/2022
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	8/18/2023	12/6/2023
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	8/11/2023	12/6/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Life	7/8/2020	10/28/2020
Active	Sutherland Global Services Inc	601788	Agent - Health	7/8/2020