DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Czaplicki, Tamara	DOIID	1272470	NAIC NPN	8338459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/3/2023		11/30/2027
Active	Non Resident	Agent	Health	5/3/2023		11/30/2027
* 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	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	5/15/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/18/2025	1/7/2026
Active	SilverScript Insurance Company	663526	Agent - Health	5/15/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/18/2025	1/7/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/18/2025	1/7/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CBC Benefit & Insurance Services	700642	Agent - Life
Active	CBC Benefit & Insurance Services	700642	Agent - Health	5/21/2025