DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dahlen, Mathew	DOIID	1078033	NAIC NPN	16804332

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/11/2024		6/30/2026
Active	Non Resident	Agent	Life	6/11/2024		6/30/2026
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	1/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/24/2020	1/16/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/27/2020	1/16/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/27/2020	1/16/2024
Active	National Health Insurance Company	300554	Agent - Health	7/12/2024
Active	National Health Insurance Company	300554	Agent - Life	7/12/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/20/2021	12/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/20/2021	12/22/2022
Active	Vision Service Plan Insurance Company	300526	Agent - Health	6/26/2024

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	1/16/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/8/2020	1/16/2024
Inactive	Velapoint LLC	721963	Agent - Life	3/24/2020	1/16/2024
Inactive	Velapoint LLC	721963	Agent - Health	5/8/2020	1/16/2024