DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fox, Tammy Lou	DOIID	971312	NAIC NPN	18520286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/6/2017	11/30/2019
* 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
Inactive	AXIS Insurance Company	301290	Agent - Health	6/26/2018	10/10/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	7/19/2018	2/12/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/10/2017	8/7/2018
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	7/4/2018	11/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/28/2018	3/26/2019