DEPARTMENT OF INSURANCE

Affiliations

Name	Fuqua, Matthew T	DOIID	701040	NAIC NPN	13285003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	10/6/2009	10/31/2027
Active	Resident	Agent	Life	5/12/2009	10/31/2027
Active	Resident	Agent	Property	10/6/2009	10/31/2027
Active	Resident	Agent	Health	5/12/2009	10/31/2027
Denied	Resident	Life & Health Consultant	Not Applicable
* 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
Active	4 Ever Life Insurance Company	301307	Agent - Health	1/7/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/6/2017
Active	Aetna Life Insurance Company	301140	Agent - Health	9/6/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	9/6/2017
Active	All Savers Insurance Company	301940	Agent - Health	11/14/2019
Active	All Savers Insurance Company	301940	Agent - Life	11/14/2019
Active	American Fidelity Assurance Company	301004	Agent - Health	1/29/2024
Active	American Fidelity Assurance Company	301004	Agent - Life	1/29/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/8/2015
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/8/2015
Active	American United Life Insurance Company	300498	Agent - Health	12/16/2014
Active	American United Life Insurance Company	300498	Agent - Life	12/16/2014
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	10/26/2022
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	10/26/2022
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	8/25/2010
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	8/25/2010
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	12/2/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/17/2011
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/17/2011
Active	Citizens Security Life Insurance Company	301257	Agent - Health	5/16/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/7/2016	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/31/2020	12/12/2024
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/26/2010	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	1/10/2024
Active	Companion Life Insurance Company	300191	Agent - Life	1/10/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	9/28/2009	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	9/28/2009	6/11/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/6/2017	6/15/2022
Inactive	Dental Care Plus Inc.	301495	Agent - Health	12/1/2011	3/31/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/17/2025
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	9/4/2012
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	9/4/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/25/2010
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/25/2010
Active	HCC Life Insurance Company	301827	Agent - Health	2/4/2014
Active	HCC Life Insurance Company	301827	Agent - Life	2/4/2014
Inactive	HM Life Insurance Company	301408	Agent - Health	1/30/2015	10/12/2022
Inactive	HM Life Insurance Company	301408	Agent - Life	1/30/2015	10/12/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/23/2009
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/23/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/31/2020	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/31/2020	12/12/2024
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/31/2020
Active	Humana Insurance Company	301104	Agent - Health	5/14/2025
Inactive	Humana Insurance Company	301104	Agent - Life	10/16/2009	12/12/2024
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	8/12/2025
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/31/2020	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/31/2020	12/12/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/31/2020	12/12/2024
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/30/2010	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/30/2010	5/13/2013
Active	Independence American Insurance Company	524747	Agent - Casualty	11/3/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/3/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/5/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/5/2017	12/8/2017
Active	Life Insurance Company of North America	300711	Agent - Health	8/6/2018
Active	Life Insurance Company of North America	300711	Agent - Life	8/6/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/27/2010
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/27/2010
Active	Metropolitan Life Insurance Company	301948	Agent - Health	7/28/2017
Active	Metropolitan Life Insurance Company	301948	Agent - Life	7/28/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/10/2013
Active	Obsidian Insurance Company	301819	Agent - Casualty	10/21/2022
Active	Obsidian Insurance Company	301819	Agent - Health	10/21/2022
Active	Obsidian Insurance Company	301819	Agent - Property	10/21/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	7/18/2012
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	7/18/2012
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	9/26/2014
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	9/26/2014
Active	Standard Insurance Company	300185	Agent - Health	2/4/2025
Active	Standard Insurance Company	300185	Agent - Life	2/4/2025
Active	Starmount Life Insurance Company	628031	Agent - Health	2/14/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	2/17/2021
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	2/17/2021
Active	Symetra Life Insurance Company	301691	Agent - Health	10/11/2017
Active	Symetra Life Insurance Company	301691	Agent - Life	10/11/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Health	7/18/2012
Active	UNUM Life Insurance Company of America	300817	Agent - Life	7/18/2012
Active	United States Fire Insurance Company	582240	Agent - Casualty	4/10/2020
Active	United States Fire Insurance Company	582240	Agent - Property	4/10/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/7/2011
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/7/2011
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/10/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/10/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/10/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/10/2023
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/5/2022
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/26/2022
Active	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Health	9/21/2011
Active	Assuredpartners NL, LLC	762387	Agent - Life	9/21/2011
Denied	Assuredpartners NL, LLC	762387	Agent - Casualty
Denied	Assuredpartners NL, LLC	762387	Agent - Property
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/13/2025
Inactive	Neace Lukens, Inc.	398909	Agent - Health	9/29/2009	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Life	9/29/2009	3/31/2014
Denied	Neace Lukens, Inc.	398909	Agent - Casualty
Denied	Neace Lukens, Inc.	398909	Agent - Property