DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackshire, Tia Janei	DOIID	1092386	NAIC NPN	19298335

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/2020		2/28/2025
Active	Non Resident	Agent	Life	8/5/2020		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	11/5/2020	3/16/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/7/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	11/5/2020	3/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/7/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/7/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	11/5/2020	8/11/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/10/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	11/3/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/10/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/10/2020	11/3/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/6/2022	8/1/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/10/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/5/2020	3/16/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/13/2023	8/1/2023
Inactive	Humana Insurance Company	301104	Agent - Health	11/28/2022	8/1/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/22/2022	8/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/7/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/29/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/29/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Life
Inactive	Trubridge Inc	717747	Agent - Health	5/18/2022	12/2/2023