DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fish, Tammy L	DOIID	312189	NAIC NPN	1473870

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/27/1992	4/16/2001
Inactive	Non Resident	Agent	Property	4/16/2008	5/31/2012
Inactive	Non Resident	Agent	Life	10/27/1992	4/16/2001
Inactive	Non Resident	Agent	Casualty	4/16/2008	5/31/2012
Inactive	Non Resident	Agent	Health Maintenance Organization	4/30/1997	3/1/2001
Inactive	Non Resident	Agent	General Lines	10/27/1992	8/15/2000
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/24/1998	4/16/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/24/1998	4/16/2001
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/27/1992	2/2/2001
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/27/1992	2/2/2001
Inactive	CUMIS Insurance Society Inc.	300859	Agent - Casualty	4/28/2008	3/16/2010
Inactive	CUMIS Insurance Society Inc.	300859	Agent - General Lines	10/27/1992	8/15/2000
Inactive	CUMIS Insurance Society Inc.	300859	Agent - Property	4/28/2008	3/16/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	4/16/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/30/1997	3/1/2001
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	3/1/2010	5/31/2012
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	3/1/2010	5/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/21/1998	4/16/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/21/1998	4/16/2001
Inactive	Cuna Mutual Insurance Agency of Kentucky Inc.	400473	Agent - Health Maintenance Organization	11/14/1997	3/1/2001
Inactive	Cuna Mutual Insurance Agency of Kentucky Inc.	400473	Agent - Health	3/1/2001	4/16/2001