DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Samson, Tiffany Marie	DOIID	1281589	NAIC NPN	19704634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2023		5/31/2026
* 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	03/15/2026	05/31/2026

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	7/9/2023	9/16/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2023	9/16/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/9/2023	9/16/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/6/2024	6/5/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/6/2024	6/5/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/11/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/22/2023	2/18/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/6/2024	6/5/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/22/2024	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/7/2023	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/9/2023	9/16/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/22/2023	2/18/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/22/2023	2/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	2/19/2024	2/17/2025