DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dahlen, Mathew Ryan	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	5/5/2025		6/30/2026
Active	Non Resident	Agent	Life	5/5/2025		6/30/2026
* 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	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	MedMutual Life Insurance Company	301047	Agent - Health	6/4/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/13/2025
Inactive	National Health Insurance Company	300554	Agent - Health	7/12/2024	1/23/2025
Inactive	National Health Insurance Company	300554	Agent - Life	7/12/2024	1/23/2025
Active	Reserve National Insurance Company	301073	Agent - Health	6/4/2025
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
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	6/26/2024	1/23/2025

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