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	Health	6/26/2020	9/30/2025
Active	Non Resident	Agent	Life	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.

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
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/20/2023	5/3/2024
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	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
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2023	5/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/27/2022	10/17/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/20/2023	5/3/2024
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