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		9/30/2026
* 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

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