DEPARTMENT OF INSURANCE

Affiliations

Name	Mattox, Douglas	DOIID	1060234	NAIC NPN	19261722

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/10/2019		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/24/2020	1/22/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	1/22/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/24/2020	1/22/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/30/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021	2/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/28/2020	12/16/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/27/2020	12/13/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021	2/14/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/15/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2022	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/24/2023	12/12/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/24/2020	1/22/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/31/2022	2/19/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/31/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/22/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/31/2022	2/19/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/15/2021	3/4/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/13/2021	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	12/5/2023	6/6/2024