DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Petrie, Tamera K	DOIID	926582	NAIC NPN	5949566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/19/2021	1/31/2024
Active	Non Resident	Agent	Health	11/7/2024		1/31/2026
Active	Non Resident	Agent	Life	11/7/2024		1/31/2026
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	11/15/2025	01/31/2026

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	2/14/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/14/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	2/14/2025
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/1/2020	7/21/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/1/2020	7/21/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/20/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/20/2020	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/10/2020
Inactive	Elips Life Insurance Company	301087	Agent - Health	5/2/2022	1/31/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/30/2021	1/31/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/20/2022	2/17/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/14/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/28/2020	1/31/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/28/2020	1/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/6/2021	4/4/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/6/2021	4/4/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/6/2021	4/4/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/6/2021	4/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/28/2020	12/14/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/21/2020	12/14/2020