DEPARTMENT OF INSURANCE

Affiliations

Name	Tedrick, Roger Brent	DOIID	332450	NAIC NPN	940022

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		11/30/2026
Active	Non Resident	Agent	Health	9/5/2003		11/30/2026
Active	Non Resident	Agent	Life	9/5/2003		11/30/2026
Active	Non Resident	Agent	Property	8/15/2000		11/30/2026
Inactive	Non Resident	Agent	General Lines	9/29/1997	8/15/2000
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/29/2023
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/29/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/28/2011
Active	Aetna Life Insurance Company	301140	Agent - Health	12/28/2011
Active	Aetna Life Insurance Company	301140	Agent - Life	12/28/2011
Inactive	American Safety Casualty Insurance Company	300566	Agent - Casualty	12/18/2000	3/31/2014
Inactive	American Safety Casualty Insurance Company	300566	Agent - Property	12/18/2000	3/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/9/2016	7/25/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/9/2016	7/25/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	8/15/2000
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	9/29/1997	8/15/2000
Active	Auto-Owners Insurance Company	301480	Agent - Property	8/15/2000
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/3/2003
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/3/2003
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/5/2012	8/30/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/5/2012	8/30/2013
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	9/23/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	6/23/1998	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	9/23/2002
Active	Great West Casualty Company	301015	Agent - Casualty	9/19/2003
Active	Great West Casualty Company	301015	Agent - Property	9/19/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/5/2012	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	3/2/2012	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	3/2/2012	8/30/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/5/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/5/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/5/2012	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/5/2012	8/30/2013
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/12/2010
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	1/13/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/4/2009	10/30/2017
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	12/4/2009	10/30/2017
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/10/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/10/2014
Active	Owners Insurance Company	300796	Agent - Casualty	8/15/2000
Inactive	Owners Insurance Company	300796	Agent - General Lines	9/29/1997	8/15/2000
Active	Owners Insurance Company	300796	Agent - Property	8/15/2000
Active	United World Life Insurance Company	300532	Agent - Health	1/13/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/13/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/13/2020

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 - Health	11/10/2016	2/11/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/10/2016	2/11/2025
Active	Tedrick Employee Benefits Inc	814585	Agent - Health	7/15/2013
Active	Tedrick Employee Benefits Inc	814585	Agent - Life	7/15/2013
Active	Tedrick Insurance Agency, Inc.	577835	Agent - Property	11/19/2003
Active	Tedrick Insurance Agency, Inc.	577835	Agent - Casualty	11/19/2003
Active	Tedrick Insurance Agency, Inc.	577835	Agent - Health	11/19/2003
Active	Tedrick Insurance Agency, Inc.	577835	Agent - Life	11/19/2003