DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Matthew JDOIID1208932NAIC NPN18860824
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife6/3/2022 3/31/2025
Pending ReplacementNon ResidentAgentVariable Life and Variable Annuities6/3/2022 3/31/2025
Pending ReplacementNon ResidentAgentHealth6/3/2022 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementUSAA Life Insurance Company300734Agent - Life7/5/2022 
Pending ReplacementWestern-Southern Life Assurance Company301590Agent - Life6/14/2022 
Pending ReplacementWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities6/14/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementFidelity Insurance Agency Inc.400221Agent - Life6/21/2022 
DeniedFidelity Insurance Agency Inc.400221Agent - Health  
Pending ReplacementFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities6/21/2022 

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