DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Tisha B	DOIID	706464	NAIC NPN	10655917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/6/2019	6/30/2023
Inactive	Resident	Agent	Property	6/30/2009	12/24/2009
Inactive	Non Resident	Agent	Life	12/6/2019	6/30/2023
Inactive	Resident	Agent	Casualty	6/2/2009	12/24/2009
* 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	5/2/2022	6/30/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/2/2022	6/30/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/2/2022	6/30/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	2/18/2022	6/30/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	2/18/2022	6/30/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/23/2022	9/20/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/12/2022	8/4/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/12/2022	8/4/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/12/2022	8/4/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	12/24/2019	3/2/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/24/2019	3/2/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	7/27/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/12/2022	8/4/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/7/2022	1/9/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/12/2020	2/8/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/2/2022	6/30/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/2/2009	12/23/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	6/30/2009	12/23/2009
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	6/2/2009	12/23/2009
Inactive	State Farm General Insurance Company	301122	Agent - Property	6/30/2009	12/23/2009
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/2/2009	12/23/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/29/2022	7/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/29/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/29/2022	7/27/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/1/2022	6/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	11/3/2022	6/30/2023
Inactive	Assurance IQ, LLC	919554	Agent - Health	11/3/2022	6/30/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Life	1/23/2020	6/30/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Health	1/23/2020	6/30/2023