DEPARTMENT OF INSURANCE

Name	Blackburn, Tamela Ann	DOIID	1159345	NAIC NPN	19022118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Life	11/2/2021		6/30/2026
Active	Resident	Agent	Health	9/28/2021		6/30/2026

*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	04/15/2024	06/30/2024	04/18/2024	04/18/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	550 Weddington Br Rd Trlr 52 Pikeville, KY 415013281

Phone Information

Type	Phone
Business / Home Office	(606) 424-4048