PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameTancredi, Debra DormanDOIID835096NAIC NPN1027098
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/4/20141/6/2022 
InactiveNon ResidentAgentHealth3/4/20141/6/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health5/29/201412/8/2015
InactiveDental Concern Inc. (The)301641Agent - Health5/29/201412/8/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health5/29/201412/8/2015
InactiveHumana Health Plan, Inc.300142Agent - Health5/29/201412/8/2015
InactiveHumana Insurance Company301104Agent - Health5/29/201412/8/2015
InactiveHumana Insurance Company301104Agent - Life5/29/201412/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/29/201412/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/29/201412/8/2015
InactiveKanawha Insurance Company300127Agent - Health5/29/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/29/201410/22/2015
InactiveTransamerica Life Insurance Company300571Agent - Health10/18/20167/1/2019
InactiveTransamerica Life Insurance Company300571Agent - Life10/18/20167/1/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACSIA Partners LLC784413Agent - Health5/30/201412/8/2015
InactiveACSIA Partners LLC784413Agent - Life5/30/201412/8/2015
InactiveGelbwaks Ins Services Inc682808Agent - Health5/30/201412/8/2015
InactiveGelbwaks Ins Services Inc682808Agent - Life5/30/201412/8/2015
InactiveUnited Insurance Group Agency Inc517612Agent - Health5/30/201412/8/2015
InactiveUnited Insurance Group Agency Inc517612Agent - Life5/30/201412/8/2015

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