DEPARTMENT OF INSURANCE
Affiliations
NameTenbarge, Samuel MarvinDOIID786370NAIC NPN16713121
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife7/17/2012 7/31/2027
Pending ReplacementNon ResidentAgentCasualty10/7/2014 7/31/2027
Pending ReplacementNon ResidentAgentHealth7/17/2012 7/31/2027
Pending ReplacementNon ResidentAgentProperty10/7/2014 7/31/2027
* 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
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty5/30/201712/20/2023
InactiveACUITY, A Mutual Insurance Company300095Agent - Property5/30/201712/20/2023
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health11/13/2017 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health7/16/2020 
Pending ReplacementAetna Life Insurance Company301140Agent - Health11/13/2017 
Pending ReplacementAetna Life Insurance Company301140Agent - Life11/13/2017 
Pending ReplacementAllmerica Financial Alliance Insurance Company300823Agent - Casualty3/2/2017 
Pending ReplacementAllmerica Financial Alliance Insurance Company300823Agent - Property3/2/2017 
Pending ReplacementAllmerica Financial Benefit Insurance Company301223Agent - Casualty3/2/2017 
Pending ReplacementAllmerica Financial Benefit Insurance Company301223Agent - Property3/2/2017 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health12/13/202112/19/2024
Pending ReplacementAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/23/20124/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/23/20124/15/2025
InactiveCIGNA Health & Life Insurance Company301783Agent - Health6/9/201812/21/2018
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20223/12/2025
InactiveCareSource Kentucky Co.838179Agent - Health12/2/201912/24/2025
InactiveCentral States Indemnity Company of Omaha300285Agent - Health2/26/201412/21/2015
Pending ReplacementCompanion Life Insurance Company300191Agent - Health6/24/2019 
Pending ReplacementCompanion Life Insurance Company300191Agent - Life6/24/2019 
Pending ReplacementCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveErie Family Life Insurance Company301400Agent - Life2/25/201612/14/2021
InactiveErie Insurance Company300230Agent - Casualty2/25/201612/14/2021
InactiveErie Insurance Company300230Agent - Property2/25/201612/14/2021
InactiveErie Insurance Company of New York789916Agent - Casualty2/25/201612/14/2021
InactiveErie Insurance Company of New York789916Agent - Property2/25/201612/14/2021
InactiveErie Insurance Exchange300789Agent - Casualty2/25/201612/14/2021
InactiveErie Insurance Exchange300789Agent - Property2/25/201612/14/2021
InactiveErie Insurance Property & Casualty Company789942Agent - Casualty2/25/201612/14/2021
InactiveErie Insurance Property & Casualty Company789942Agent - Property2/25/201612/14/2021
Pending ReplacementFirst Health Life & Health Insurance Company301735Agent - Health11/13/2017 
InactiveFlagship City Insurance Company789965Agent - Casualty2/25/201612/14/2021
InactiveFlagship City Insurance Company789965Agent - Property2/25/201612/14/2021
InactiveGolden Rule Insurance Company301943Agent - Health9/17/20158/2/2018
InactiveGolden Rule Insurance Company301943Agent - Life9/17/20158/2/2018
Pending ReplacementHanover American Insurance Company (The)300447Agent - Casualty3/2/2017 
Pending ReplacementHanover American Insurance Company (The)300447Agent - Property3/2/2017 
Pending ReplacementHanover Insurance Company (The)300508Agent - Casualty3/2/2017 
Pending ReplacementHanover Insurance Company (The)300508Agent - Property3/2/2017 
InactiveHumana Insurance Company301104Agent - Health11/21/202212/12/2024
Pending ReplacementIncline Casualty Company1064344Agent - Casualty7/29/2026 
Pending ReplacementIncline Casualty Company1064344Agent - Property7/29/2026 
Pending ReplacementMassachusetts Bay Insurance Company300898Agent - Casualty3/2/2017 
Pending ReplacementMassachusetts Bay Insurance Company300898Agent - Property3/2/2017 
InactiveMedico Corp Life Insurance Company301777Agent - Health11/5/20164/16/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life11/5/20164/16/2018
InactiveOmaha Health Insurance Company301296Agent - Health12/25/201912/27/2024
InactiveOmaha Insurance Company751908Agent - Health8/29/20167/24/2017
Pending ReplacementProgressive Casualty Insurance Company300696Agent - Casualty3/22/2018 
Pending ReplacementProgressive Casualty Insurance Company300696Agent - Property3/22/2018 
Pending ReplacementSilverScript Insurance Company663526Agent - Health3/31/2016 
InactiveTrexis Insurance Corporation599902Agent - Casualty6/27/20169/9/2024
InactiveTrexis One Insurance Corporation684197Agent - Casualty6/27/20169/9/2024
Pending ReplacementUnited Financial Casualty Company301886Agent - Casualty3/22/2018 
Pending ReplacementUnited Financial Casualty Company301886Agent - Property3/22/2018 
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/1/20123/12/2025
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/17/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/17/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/1/201212/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/20153/12/2025
Pending ReplacementVerlan Fire Insurance Company517102Agent - Casualty3/2/2017 
Pending ReplacementVerlan Fire Insurance Company517102Agent - Property3/2/2017 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/201912/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/13/20184/6/2026
InactiveWest Bend Insurance Company672974Agent - Casualty1/27/20178/19/2025
InactiveWest Bend Insurance Company672974Agent - Property1/27/20178/19/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementDesignated Agent Company Inc.681257Agent - Life10/23/2012 
Pending ReplacementDesignated Agent Company Inc.681257Agent - Health10/23/2012 
InactiveShepherd Insurance, LLC774397Agent - Life8/6/20188/12/2026
InactiveShepherd Insurance, LLC774397Agent - Health8/6/20188/12/2026
InactiveShepherd Insurance, LLC774397Agent - Property8/6/20188/12/2026
InactiveShepherd Insurance, LLC774397Agent - Casualty8/6/20188/12/2026

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