DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivers, Tiara	DOIID	1210887	NAIC NPN	20225133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/14/2022		12/31/2025
Active	Non Resident	Agent	Health	6/14/2022		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/21/2022	12/12/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/22/2022	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2022	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/6/2023	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/28/2022	12/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Life
Inactive	Trubridge Inc	717747	Agent - Health	3/11/2024	12/12/2024