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DEPARTMENT OF INSURANCE
Affiliations
Name
Mellquist, Matthew
DOIID
1018520
NAIC NPN
18895559
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
11/8/2018
3/31/2020
* 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
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
4/12/2019
9/16/2019
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
3/24/2019
9/13/2019
Inactive
LifeShield National Insurance Company
737111
Agent - Health
1/30/2019
9/12/2019
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
3/26/2019
11/29/2019
Inactive
Unified Life Insurance Company
543169
Agent - Health
10/22/2019
3/31/2020
Inactive
United States Fire Insurance Company
582240
Agent - Health
9/11/2019
3/31/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/5/2019
3/31/2020
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