DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Matejko, Dawn Lucille	DOIID	1283159	NAIC NPN	18251314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/30/2023		2/29/2028
Active	Non Resident	Agent	Life	6/30/2023		2/29/2028
* 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	Accendo Insurance Company	300312	Agent - Life	12/15/2023	12/19/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/15/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/4/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	3/4/2026
Active	American General Life Insurance Company	301585	Agent - Health	5/23/2024
Active	American General Life Insurance Company	301585	Agent - Life	5/23/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/15/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/15/2023	12/19/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/23/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	1/30/2024	1/23/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/23/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/19/2024	11/20/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2025
Active	SilverScript Insurance Company	663526	Agent - Health	3/4/2026
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	3/19/2024
Active	Tier One Insurance Company	301056	Agent - Health	7/17/2023
Active	Tier One Insurance Company	301056	Agent - Life	7/17/2023
Active	United Home Life Insurance Company	300421	Agent - Life	9/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coverage Champions Insurance Agency LLC	1386910	Agent - Life	7/31/2026
Active	Coverage Champions Insurance Agency LLC	1386910	Agent - Health	7/31/2026