DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Tiffany Michelle	DOIID	1157497	NAIC NPN	19978713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	12/15/2021	6/30/2026
Active	Resident	Agent	Life	10/5/2021	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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/30/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	10/13/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/8/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/30/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/17/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	2/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	7/28/2022	10/13/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	7/28/2022	10/13/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/12/2021	12/16/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/23/2024	7/30/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/23/2022	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/23/2024	7/30/2025
Active	Athene Annuity and Life Company	301893	Agent - Life	5/4/2022
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	12/21/2021	11/12/2025
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	12/21/2021	11/12/2025
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	12/21/2021	11/12/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/23/2024	7/30/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/30/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/13/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/16/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/7/2023	8/18/2023
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	1/10/2022	4/6/2023
Active	Independent Order of Foresters	300743	Agent - Life	9/5/2022
Active	LifeShield National Insurance Company	737111	Agent - Health	9/8/2024
Active	LifeShield National Insurance Company	737111	Agent - Life	9/8/2024
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	12/29/2022	10/16/2023
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	12/29/2022	10/16/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/16/2022
Active	SilverScript Insurance Company	663526	Agent - Health	2/17/2022
Active	Tier One Insurance Company	301056	Agent - Health	9/9/2024
Active	Tier One Insurance Company	301056	Agent - Life	9/9/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/1/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/17/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2022	2/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Life	7/31/2023
Active	World Financial Group Insurance Agency, LLC	400520	Agent - Health	7/31/2023