DEPARTMENT OF INSURANCE

Affiliations

Name	Liesveld, Matthew J	DOIID	1098087	NAIC NPN	19507398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/15/2020	5/31/2026
Active	Non Resident	Agent	Health	9/15/2020	5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/15/2023
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/9/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/16/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/3/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/16/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/16/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/23/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/6/2020	12/12/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/6/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/6/2020	12/16/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Health	11/16/2020	6/21/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/3/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/9/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	6/9/2025
Active	Insurance Company of North America	300226	Agent - Health	9/23/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/11/2021	1/13/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/24/2021
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	8/4/2025
Active	SilverScript Insurance Company	663526	Agent - Health	12/16/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/3/2020	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	8/25/2023
Active	Tier One Insurance Company	301056	Agent - Life	8/25/2023
Active	United World Life Insurance Company	300532	Agent - Health	11/26/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2020	6/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/13/2020	5/6/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/13/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/13/2020	5/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021	12/5/2024
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021	12/5/2024
Active	Spring Ins Solutions LLC	788951	Agent - Life	12/6/2020
Active	Spring Ins Solutions LLC	788951	Agent - Health	10/6/2020