DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hendricks, Tabitha	DOIID	1289466	NAIC NPN	20061122

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/2/2023		2/28/2026
Active	Non Resident	Agent	Health	8/2/2023		2/28/2026
* 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	12/15/2025	02/28/2026

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	2/2/2024	6/26/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/2/2024	6/26/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/2/2024	6/26/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/11/2024	5/14/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/11/2024	5/14/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/11/2024	5/14/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/2/2024	6/26/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/11/2024	6/6/2024