DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sibenge, Tinashe James	DOIID	926860	NAIC NPN	18050066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/29/2016	9/30/2017
Inactive	Non Resident	Agent	Life	8/29/2016	9/30/2017
Active	Non Resident	Staff Adjuster	Property & Casualty	10/24/2019		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/9/2016	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/9/2016	9/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/9/2016	9/30/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/20/2016	2/8/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/4/2016	9/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/1/2016	7/13/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/9/2016	9/30/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/1/2016	7/13/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/1/2016	7/13/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/1/2016	7/13/2017
Inactive	Humana Insurance Company	301104	Agent - Life	9/1/2016	7/13/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/1/2016	7/13/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/1/2016	7/13/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	7/13/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/23/2016	9/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/9/2016	1/6/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	1/6/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/9/2016	1/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services LLC	625753	Agent - Health	11/16/2016	12/14/2016
Inactive	Extend Insurance Services LLC	625753	Agent - Life	11/16/2016	12/14/2016