DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fuller, Tishola Renee	DOIID	1237340	NAIC NPN	20346842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/4/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/4/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	11/4/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/18/2022	3/27/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/18/2022	3/27/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/18/2022	3/27/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/16/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	6/16/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/18/2022	3/27/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/7/2023
Active	Emphesys Insurance Company	300598	Agent - Health	5/16/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/31/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/1/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/2/2024
Active	Humana Insurance Company	301104	Agent - Health	6/16/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/16/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023