DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Matthew R	DOIID	1120921	NAIC NPN	17975127

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/16/2021		10/31/2024
Active	Non Resident	Agent	Health	2/16/2021		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/7/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/7/2021
Active	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/26/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/18/2021	12/29/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	4/19/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	8/15/2022
Active	Transamerica Life Insurance Company	300571	Agent - Life	8/15/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	10/18/2021	12/29/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/24/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Efinancial LLC	598419	Agent - Life	12/6/2021
Active	Efinancial LLC	598419	Agent - Health	12/6/2021