DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roos, Matthew David	DOIID	1077924	NAIC NPN	17756117

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/13/2020	9/30/2022
Inactive	Non Resident	Agent	Health	3/13/2020	9/30/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	3/23/2020	9/30/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	9/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/23/2020	9/30/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	10/26/2020	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2020	12/21/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	12/21/2021
Inactive	National Health Insurance Company	300554	Agent - Health	3/20/2020	7/14/2021
Inactive	National Health Insurance Company	300554	Agent - Life	3/20/2020	7/14/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/23/2020	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	3/24/2020	12/21/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020	9/30/2022
Inactive	Velapoint LLC	721963	Agent - Life	3/23/2020	11/19/2021
Inactive	Velapoint LLC	721963	Agent - Health	3/23/2020	11/19/2021