DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schmidt, Tiffany Autumn	DOIID	654577	NAIC NPN	9237660

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/9/2010		6/30/2026
Active	Resident	Agent	Health	11/9/2010		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
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/19/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/19/2013	8/14/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/19/2013	8/14/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/4/2011	7/19/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/4/2011	7/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/19/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/19/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Midwest LLC	517736	Agent - Health	9/19/2013	8/14/2015
Inactive	USI Midwest LLC	517736	Agent - Life	9/19/2013	8/14/2015
Denied	Usi Insurance Services LLC	669260	Agent - Health
Denied	Usi Insurance Services LLC	669260	Agent - Life