DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rider Risk Management Services, LLC	DOIID	989361	NAIC NPN	18744673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/30/2018	7/1/2019
Inactive	Resident	Agent	Health	3/30/2018	7/1/2019
* 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
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/11/2018	7/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/11/2018	7/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/11/2018	7/1/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/5/2018	12/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/5/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/5/2018	7/11/2019
Inactive	Humana Insurance Company	301104	Agent - Life	4/5/2018	7/11/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/5/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/5/2018	12/10/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/18/2018	7/1/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/12/2018	7/1/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/12/2018	7/1/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/12/2018	7/1/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/12/2018	4/30/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rider, Michael Eugene	705954	Agent - Health	3/30/2018	5/1/2019
Inactive	Rider, Michael Eugene	705954	Agent - Life	3/30/2018	5/1/2019