DEPARTMENT OF INSURANCE
Affiliations
NameTidewater Management Group, LLCDOIID689330NAIC NPN8855065
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/2/2009 3/31/2027
ActiveNon ResidentAgentLife3/2/2009 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health5/1/2025 
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/13/2015 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/13/2015 
ActiveAetna Life Insurance Company301140Agent - Life10/13/2015 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health9/26/201712/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life9/26/201712/21/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health8/21/2019 
ActiveAmeritas Life Insurance Corporation300126Agent - Life8/21/2019 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/25/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/4/202112/20/2022
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/25/2025 
InactiveAnthem Life Insurance Company301209Agent - Health6/14/201812/20/2022
InactiveAnthem Life Insurance Company301209Agent - Life6/14/201812/20/2022
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/18/2018 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/18/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health5/18/2018 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life5/18/2018 
ActiveCHA HMO, Inc.300662Agent - Health7/10/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health4/21/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life4/21/2017 
InactiveCSI Life Insurance Company596032Agent - Health12/23/201910/7/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/6/2024 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health4/1/20168/13/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/27/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/27/20192/3/2025
InactiveCincinnati Equitable Life Insurance Company641870Agent - Life4/21/20153/17/2016
ActiveCincinnati Life Insurance Company (The)300601Agent - Life4/14/2021 
ActiveCompBenefits Insurance Company301864Agent - Health7/6/2021 
InactiveCompBenefits Insurance Company301864Agent - Life8/4/20106/26/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/25/2025 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
ActiveDental Concern Inc. (The)301641Agent - Health8/4/2010 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/26/2024 
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
InactiveEverest Reinsurance Company301836Agent - Health9/29/20162/20/2020
InactiveEverly Life Insurance Company561641Agent - Life6/10/20146/7/2016
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/13/2015 
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
ActiveGolden Rule Insurance Company301943Agent - Health11/18/2024 
ActiveGolden Rule Insurance Company301943Agent - Life11/18/2024 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/28/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/23/2015 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/22/2018 
ActiveHumana Health Plan, Inc.300142Agent - Health8/4/2010 
ActiveHumana Insurance Company301104Agent - Health8/4/2010 
ActiveHumana Insurance Company301104Agent - Life8/4/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Health8/4/2010 
ActiveHumana Insurance Company of Kentucky300826Agent - Life8/4/2010 
ActiveHumana Medical Plan, Inc.801568Agent - Health4/21/2015 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveHumanaDental Insurance Company301457Agent - Health8/4/20102/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/4/20102/23/2012
InactiveKanawha Insurance Company300127Agent - Health8/4/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life8/4/201010/22/2015
ActiveLiberty Bankers Life Insurance Company542461Agent - Life8/21/2014 
InactiveLumico Life Insurance Company300354Agent - Health12/19/20182/17/2023
InactiveLumico Life Insurance Company300354Agent - Life12/27/201811/21/2024
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health11/23/2020 
ActiveMedco Containment Life Insurance Company301557Agent - Health12/26/2023 
InactiveMedico Corp Life Insurance Company301777Agent - Health7/21/20144/18/2018
ActiveMedico Insurance Company301559Agent - Health1/23/2019 
ActiveMedico Insurance Company301559Agent - Life1/23/2019 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/20/2021 
ActiveNational Health Insurance Company300554Agent - Health3/29/2022 
ActiveNational Health Insurance Company300554Agent - Life3/29/2022 
ActiveReserve National Insurance Company301073Agent - Health9/5/2012 
ActiveReserve National Insurance Company301073Agent - Life9/5/2012 
ActiveRoyal Neighbors of America301646Agent - Life11/9/2022 
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health11/13/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveStandard Life and Accident Insurance Company301534Agent - Health5/30/2023 
InactiveStonebridge Life Insurance Company301614Agent - Health5/30/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life5/30/201210/1/2015
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life10/1/2020 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/30/200910/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/30/200910/1/2020
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/30/2016 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/30/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/30/2016 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFincher, Christopher T 689093Agent - Health3/2/2009 
ActiveFincher, Christopher T 689093Agent - Life3/2/2009 

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