DEPARTMENT OF INSURANCE

Affiliations

Name	Tenbarge, Samuel Marvin	DOIID	786370	NAIC NPN	16713121

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/7/2014	7/31/2025
Active	Non Resident	Agent	Health	7/17/2012	7/31/2025
Active	Non Resident	Agent	Property	10/7/2014	7/31/2025
Active	Non Resident	Agent	Life	7/17/2012	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/30/2017	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/30/2017	12/20/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/13/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/16/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/13/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	11/13/2017
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	3/2/2017
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	3/2/2017
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	3/2/2017
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	3/2/2017
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/13/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/23/2012	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/23/2012	4/15/2025
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/9/2018	12/21/2018
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	3/12/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	12/2/2019
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	2/26/2014	12/21/2015
Active	Companion Life Insurance Company	300191	Agent - Health	6/24/2019
Active	Companion Life Insurance Company	300191	Agent - Life	6/24/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	2/25/2016	12/14/2021
Inactive	Erie Insurance Company	300230	Agent - Casualty	2/25/2016	12/14/2021
Inactive	Erie Insurance Company	300230	Agent - Property	2/25/2016	12/14/2021
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	2/25/2016	12/14/2021
Inactive	Erie Insurance Company of New York	789916	Agent - Property	2/25/2016	12/14/2021
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	2/25/2016	12/14/2021
Inactive	Erie Insurance Exchange	300789	Agent - Property	2/25/2016	12/14/2021
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	2/25/2016	12/14/2021
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	2/25/2016	12/14/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/13/2017
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	2/25/2016	12/14/2021
Inactive	Flagship City Insurance Company	789965	Agent - Property	2/25/2016	12/14/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/17/2015	8/2/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/17/2015	8/2/2018
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	3/2/2017
Active	Hanover American Insurance Company (The)	300447	Agent - Property	3/2/2017
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	3/2/2017
Active	Hanover Insurance Company (The)	300508	Agent - Property	3/2/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2022	12/12/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/2/2017
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	3/2/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	11/5/2016	4/16/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	11/5/2016	4/16/2018
Inactive	Omaha Health Insurance Company	301296	Agent - Health	12/25/2019	12/27/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	8/29/2016	7/24/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/22/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/22/2018
Active	SilverScript Insurance Company	663526	Agent - Health	3/31/2016
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	6/27/2016	9/9/2024
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	6/27/2016	9/9/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	3/22/2018
Active	United Financial Casualty Company	301886	Agent - Property	3/22/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/1/2012	3/12/2025
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/17/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/17/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/1/2012	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/12/2025
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	3/2/2017
Active	Verlan Fire Insurance Company	517102	Agent - Property	3/2/2017
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/13/2018
Active	West Bend Insurance Company	672974	Agent - Casualty	1/27/2017
Active	West Bend Insurance Company	672974	Agent - Property	1/27/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	10/23/2012
Active	Designated Agent Company Inc.	681257	Agent - Health	10/23/2012
Active	Shepherd Insurance, LLC	774397	Agent - Life	8/6/2018
Active	Shepherd Insurance, LLC	774397	Agent - Health	8/6/2018
Active	Shepherd Insurance, LLC	774397	Agent - Property	8/6/2018
Active	Shepherd Insurance, LLC	774397	Agent - Casualty	8/6/2018