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.

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
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/5/2025	5/15/2025
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