DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Samson, Tiffany Marie	DOIID	1281589	NAIC NPN	19704634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2023		5/31/2026
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/9/2023	9/16/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2023	9/16/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2023	9/16/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/6/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/11/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/22/2023	2/18/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/6/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/22/2024	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/7/2023	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/9/2023	9/16/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/22/2023	2/18/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/22/2023	2/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	2/19/2024	2/17/2025