DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wardlaw, Tammy Lou	DOIID	353581	NAIC NPN	7193030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	8/30/2022		7/31/2025
Active	Resident	Agent	Health	8/30/2022		7/31/2025
* 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	Auto-Owners Life Insurance Company	301368	Agent - Health	3/2/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	3/2/2023
Inactive	Medical Life Insurance Company	300693	Agent - Health	3/26/2001	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	3/26/2001	12/31/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/2/1994	2/12/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/2/1994	2/12/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/4/2001	2/12/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/4/2001	2/12/2004
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/13/2001	2/12/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Administrators, LLC	397899	Agent - Life	2/13/2003	1/4/2004
Inactive	Commonwealth Administrators, LLC	397899	Agent - Health	2/13/2003	1/5/2004
Active	Energy Ins Agency Inc	398833	Agent - Life	3/2/2023
Active	Energy Ins Agency Inc	398833	Agent - Health	3/2/2023
Inactive	Willis of Louisville, Inc.	401313	Agent - Life	2/16/2001	12/21/2001
Inactive	Willis of Louisville, Inc.	401313	Agent - Health	2/16/2001	12/21/2001