DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tate, Malkia	DOIID	878272	NAIC NPN	8621163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/18/2015		12/31/2024
Active	Non Resident	Agent	Life	5/18/2015		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/11/2015	2/22/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/11/2015	2/22/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/3/2015	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/3/2015	6/16/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/26/2015	3/14/2019
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/26/2015	3/14/2019
Active	United Concordia Insurance Company	903543	Agent - Health	12/31/2017
Inactive	United Concordia Life and Health Insurance Company	301220	Agent - Health	5/18/2015	12/31/2017
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/28/2015
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/28/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/9/2020
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/9/2020
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benepay Ins Services LLC	878372	Agent - Life	5/19/2015	3/31/2017
Inactive	Benepay Ins Services LLC	878372	Agent - Health	5/19/2015	3/31/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	5/3/2016	3/1/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	5/3/2016	3/1/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Life	12/27/2018	3/1/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Health	12/27/2018	3/1/2019