DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sharlow, Tiffany A	DOIID	812433	NAIC NPN	16984286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/14/2013	2/28/2018
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	4/4/2014	11/2/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	10/24/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/20/2013	10/24/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/20/2013	10/24/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	10/24/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/20/2013	10/24/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/20/2013	10/24/2017
Inactive	Humana Insurance Company	301104	Agent - Health	6/20/2013	10/24/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/20/2013	10/24/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	10/24/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	10/24/2017
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/6/2015	11/21/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/20/2013	10/22/2015
Inactive	Omaha Insurance Company	751908	Agent - Health	11/19/2014	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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/4/2014	11/2/2016
Inactive	Trubridge Inc	717747	Agent - Health	3/29/2016	5/17/2017