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	Life	5/12/2009	10/31/2025
Active	Resident	Agent	Property	10/6/2009	10/31/2025
Active	Resident	Agent	Health	5/12/2009	10/31/2025
Active	Resident	Agent	Casualty	10/6/2009	10/31/2025
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

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
Pending Replacement	Dental Care Plus Inc.	301495	Agent - Health	12/1/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/30/2019	12/12/2024
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
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/31/2020	12/12/2024
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