DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Austin Matthew	DOIID	1007524	NAIC NPN	17805598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2018	4/30/2027
Active	Non Resident	Agent	Life	8/29/2018	4/30/2027
* 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	02/15/2025	04/30/2025	04/08/2025	04/08/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	7/18/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/22/2020
Active	American Life & Security Corp	1055058	Agent - Life	5/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/14/2019	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/14/2019	12/16/2024
Active	Augustar Life Insurance Company	301816	Agent - Life	12/15/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/22/2019	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/22/2019	1/6/2025
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	3/26/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	12/20/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Life	8/8/2019	11/18/2022
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/29/2022	1/23/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/4/2022
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	4/27/2020	12/14/2022
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	8/5/2019
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	8/5/2019
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	12/3/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/8/2019	2/17/2023
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/5/2025
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/29/2019
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	9/22/2020	12/28/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Health	10/31/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	10/31/2019
Inactive	United American Insurance Company	300910	Agent - Health	8/2/2019	12/17/2024
Inactive	United American Insurance Company	300910	Agent - Life	8/2/2019	12/17/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	2/25/2020	2/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2019	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/23/2019	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/23/2019	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Conservative Financial Solutions LLC	1030673	Agent - Life	8/2/2019
Active	Conservative Financial Solutions LLC	1030673	Agent - Health	7/8/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/16/2019	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/16/2019	2/10/2025