DEPARTMENT OF INSURANCE

Affiliations

Name	Ancrum, Tiffany Michelle	DOIID	934102	NAIC NPN	18112469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/12/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/22/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/5/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	1/22/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/2/2019	11/6/2019
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	5/1/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	5/1/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/7/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/13/2018	9/30/2020
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/23/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/1/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2024
Active	Humana Insurance Company	301104	Agent - Health	5/1/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/26/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	1/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/14/2021	4/12/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/1/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/14/2021	4/12/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/14/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/14/2021	4/12/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/24/2021	4/19/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/24/2021	4/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/5/2019	11/6/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	1/14/2021	3/18/2022