DEPARTMENT OF INSURANCE

Affiliations

Name	Matamoros, Maximiliano	DOIID	1010747	NAIC NPN	18842740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/19/2018	3/31/2025
Active	Non Resident	Agent	Life	9/19/2018	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/7/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/4/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/7/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	10/4/2019	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/13/2019	9/16/2019
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	7/21/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	7/21/2020
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/5/2020	7/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/19/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/4/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/1/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/12/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/24/2019	4/11/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/24/2019	4/11/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/18/2018	5/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/28/2018	11/26/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/16/2020	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/9/2023	7/16/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/18/2021	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/7/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/23/2024	4/16/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/23/2024	4/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	7/22/2020
Active	Designated Agent Company Inc.	681257	Agent - Life	7/22/2020
Active	Ensurem II LLC	908041	Agent - Health	9/16/2019
Active	Ensurem II LLC	908041	Agent - Life	9/16/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/10/2019	4/20/2022
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	3/13/2022
Denied	TZ Insurance Solutions LLC	727470	Agent - Life