DEPARTMENT OF INSURANCE

Affiliations

Name	Tubbs, Miqual Patrece	DOIID	849081	NAIC NPN	17322364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/28/2023		10/31/2026
Inactive	Non Resident	Agent	Life	10/30/2017	10/31/2022
* 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	08/15/2024	10/31/2024	10/04/2024	10/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	4/3/2018	7/17/2018
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/17/2020	10/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2020	10/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/15/2020	10/31/2022
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	5/29/2018	2/12/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/13/2020	3/5/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	3/5/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	3/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/13/2020	3/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2020	3/5/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/20/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/19/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	7/20/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	3/5/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/22/2023
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/11/2016	10/31/2016
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/9/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/31/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/29/2023
Active	Humana Insurance Company	301104	Agent - Health	7/20/2023
Inactive	Humana Insurance Company	301104	Agent - Life	10/31/2017	1/3/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/7/2016	10/31/2016
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/20/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/31/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/15/2020	10/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/24/2021	5/17/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/24/2021	5/17/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/24/2021	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/26/2014	12/15/2014
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/24/2021	5/17/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/7/2020	10/31/2022

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	10/11/2023