DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tribble, Laci Lorraine	DOIID	824083	NAIC NPN	17038118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/11/2013	6/3/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	6/12/2023		8/31/2025
* 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
Staff Adjuster	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	9/8/2017	7/9/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	10/22/2015	2/12/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/15/2016	3/19/2018
Inactive	Everest Reinsurance Company	301836	Agent - Health	12/19/2016	6/3/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/17/2015	2/16/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/6/2016	12/3/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	8/4/2015	5/17/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/2/2017	6/3/2019
Inactive	Unified Life Insurance Company	543169	Agent - Health	8/24/2015	12/28/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/11/2013	7/28/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/17/2015	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/11/2013	7/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Service Insurance Agency LLC	776503	Agent - Health	6/14/2016	6/3/2019