black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THOMAS P. BOTTS

PRODUCER NON-RESIDENT

License Number:
PRN266839
Status:
First Licensure:
04/09/2016
Cancel Date:
None

Mailing:
CONCORD, NC 28027
Phone:
+1 (980) 294-0318
Email:
tbotts@tidewaterfg.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/09/2016

Agency

Name Issue Date License Number Expiration Date Cancel Date
PREMIER BENEFITS GROUP, INC.
04/13/2016 AGN266920 07/01/2017
PREMIER BENEFITS GROUP, INC.
09/23/2020 AGN266920 07/01/2021
TIDEWATER FINANCIAL GROUP
10/28/2020 AGN367007 07/01/2023

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN HERITAGE LIFE INSURANCE COMPANY
04/14/2016 LHF594 05/06/2022
AMERICAN HERITAGE LIFE INSURANCE COMPANY
02/07/2023 LHF594

Authority

Description Issue Date Termination Date Status
HEALTH 04/09/2016 Active
LIFE 04/09/2016 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
6447903

Other Addresses

Address Type
1028 LEE ANN DR NE STE 305
CONCORD, NC 28025-2915
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/02/2025 04:33:34 PM