DEPARTMENT OF INSURANCE

Affiliations

Name	Tedrick Employee Benefits Inc	DOIID	814585	NAIC NPN	2106210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/15/2013	3/31/2027
Active	Non Resident	Agent	Health	7/15/2013	3/31/2027
Withdrawn	Non Resident	Agent	Variable Life and Variable Annuities
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/31/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/31/2013	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/31/2013	11/3/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/27/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	1/27/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	1/27/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2015	10/22/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tedrick, Roger Brent	332450	Agent - Health	7/15/2013
Active	Tedrick, Roger Brent	332450	Agent - Life	7/15/2013