DEPARTMENT OF INSURANCE

Affiliations

Name	Tatum, Dsira	DOIID	1076035	NAIC NPN	19434609

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	3/7/2024		5/31/2027
Inactive	Non Resident	Agent	Life	2/27/2020	5/31/2021
Inactive	Non Resident	Agent	Health	2/27/2020	5/31/2021
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/12/2020	7/9/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/12/2020	7/9/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/12/2020	7/9/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/14/2021	5/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/14/2021	5/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/14/2021	5/31/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2020	2/4/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/3/2020	5/31/2021
Active	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	5/20/2025
Inactive	Humana Insurance Company	301104	Agent - Health	1/21/2021	2/4/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/20/2021	2/4/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/25/2021	5/31/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/12/2020	7/9/2021
Active	USAA Casualty Insurance Company	300995	Agent - Personal Lines	5/20/2025
Active	USAA General Indemnity Company	300131	Agent - Personal Lines	5/20/2025
Active	United Services Automobile Association	300158	Agent - Personal Lines	5/20/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/27/2020	5/31/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2020	5/31/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2020	5/31/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/27/2020	5/31/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/1/2020	5/31/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/1/2020	5/31/2021

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 - Life	3/13/2020	1/28/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/8/2020	1/31/2021
Inactive	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	3/14/2024	10/30/2024