DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mcclellan, Tiffany Ann	DOIID	982228	NAIC NPN	16115585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/22/2018		5/31/2027
Active	Non Resident	Agent	Life	1/22/2018		5/31/2027
* 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	03/15/2025	05/31/2025	04/16/2025	04/16/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/2/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Edgewood Partners Insurance Center	549891	Agent - Life
Denied	Edgewood Partners Insurance Center	549891	Agent - Health