DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubose, Tammara A	DOIID	985579	NAIC NPN	18696137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/23/2018	2/28/2023
Inactive	Non Resident	Agent	Life	2/23/2018	2/28/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	5/29/2018	7/18/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/15/2022	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/15/2022	2/28/2023
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/3/2020	2/28/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/26/2021	2/28/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/26/2021	2/28/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/26/2021	2/28/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	3/16/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	3/16/2018	7/18/2019
Inactive	Federal Insurance Company	301144	Agent - Health	5/7/2019	11/8/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/28/2019	3/1/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/28/2019	3/1/2021
Inactive	Independence American Insurance Company	524747	Agent - Health	9/17/2021	12/30/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/29/2020	2/28/2023
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	11/17/2020	2/28/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/7/2018	5/4/2022
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/31/2019	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/5/2018	4/22/2022