DEPARTMENT OF INSURANCE

Affiliations

Name	Siceloff, Tammy	DOIID	955470	NAIC NPN	18118580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/24/2017		5/31/2027
* 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	03/15/2025	05/31/2025	04/01/2025	04/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/28/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/18/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/6/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/18/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/18/2024	12/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/30/2021	9/8/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/18/2024	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	12/13/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/18/2024	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/6/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/13/2017	6/8/2018
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	12/2/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	3/13/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/28/2019	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/18/2019	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/13/2017	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/21/2022	8/24/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/13/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/13/2017	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/30/2017	5/9/2019
Active	SilverScript Insurance Company	663526	Agent - Health	12/18/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/19/2024
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/20/2017	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/19/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/6/2018
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Choice Health Ins	967817	Agent - Health	3/31/2022	6/23/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/14/2018	5/24/2021