DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moore, Tammy K	DOIID	714776	NAIC NPN	14983700

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/1/2009		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/06/2024	05/06/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/11/2017
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2010	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	11/14/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	10/8/2009
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/28/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2009
Active	Humana Insurance Company	301104	Agent - Health	10/8/2009
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2009
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/8/2009	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	3/17/2010