DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Tamela Ann	DOIID	1159345	NAIC NPN	19022118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	9/28/2021		6/30/2026
Active	Resident	Agent	Life	11/2/2021		6/30/2026
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/1/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/1/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/10/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/28/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2023	4/15/2025
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/26/2022	2/13/2024
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/26/2022	2/13/2024
Active	Combined Insurance Company of America	301472	Agent - Health	6/6/2023
Active	Combined Insurance Company of America	301472	Agent - Life	6/6/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2023
Active	Humana Insurance Company	301104	Agent - Health	12/7/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	8/28/2023