DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merchant, Tiffany Yvette	DOIID	823116	NAIC NPN	16926847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/2/2024		10/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/6/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/6/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	4/6/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/14/2013	10/31/2014
Active	SilverScript Insurance Company	663526	Agent - Health	4/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	12/17/2013	1/24/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/14/2013	10/31/2014