DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Frontier Insurance Distribution LLC	DOIID	1309175	NAIC NPN	17679435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/6/2023		3/31/2027
Active	Non Resident	Agent	Health	11/6/2023		3/31/2027
* 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	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/22/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/19/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/22/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/19/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/19/2024
Active	American Life & Security Corp	1055058	Agent - Life	2/9/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/1/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/23/2024	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/23/2024	2/3/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/22/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/22/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	2/23/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	2/23/2025
Active	Royal Neighbors of America	301646	Agent - Life	3/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/19/2024
Active	Tier One Insurance Company	301056	Agent - Health	11/19/2024
Active	Tier One Insurance Company	301056	Agent - Life	11/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/1/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Graham, Matthew B	640480	Agent - Health	12/12/2024
Active	Graham, Matthew B	640480	Agent - Life	12/12/2024
Inactive	Tebyani, Frank	1254998	Agent - Health	11/6/2023	12/12/2024
Inactive	Tebyani, Frank	1254998	Agent - Life	11/6/2023	12/12/2024