DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Matthew FranklinDOIID330762NAIC NPN7177511
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization2/3/19993/1/2001 
InactiveResidentAgentLife6/8/19982/28/2006 
InactiveResidentAgentVariable Life and Variable Annuities5/31/200112/11/2002 
InactiveResidentAgentHealth1/5/19992/28/2006 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/19/200212/8/2005
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/19/200212/8/2005
InactiveAmerican Heritage Life Insurance Company300272Agent - Health3/29/19993/12/2003
InactiveAmerican Heritage Life Insurance Company300272Agent - Life3/29/19993/12/2003
InactiveAnnuity Investors Life Insurance Company300715Agent - Health8/20/200112/11/2002
InactiveAnnuity Investors Life Insurance Company300715Agent - Life8/20/200112/11/2002
InactiveAnnuity Investors Life Insurance Company300715Agent - Variable Life and Variable Annuities8/20/200112/11/2002
InactiveAnthem Life Insurance Company301209Agent - Health3/25/199912/11/2002
InactiveAnthem Life Insurance Company301209Agent - Life3/25/199912/11/2002
InactiveBerkshire Life Insurance Company of America300983Agent - Health2/11/200412/8/2005
InactiveBerkshire Life Insurance Company of America300983Agent - Life2/11/200412/8/2005
InactiveCanada Life Assurance Company301192Agent - Health5/16/200012/11/2002
InactiveCanada Life Assurance Company301192Agent - Life5/22/200012/11/2002
InactiveContinental Casualty Company301019Agent - Health7/8/200211/29/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life1/8/200112/11/2002
InactiveGuardian Life Insurance Company of America301316Agent - Health2/11/20042/28/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life2/11/20042/28/2006
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20012/28/2006
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization2/3/19993/1/2001
InactiveHumana Insurance Company301104Agent - Health2/3/19992/28/2006
InactiveHumana Insurance Company301104Agent - Life2/3/19992/28/2006
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/20042/28/2006
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/20042/28/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/22/200212/11/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/27/199912/11/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/11/200112/11/2002
InactiveManufacturers Life Insurance Company of North America301899Agent - Life4/14/20001/22/2002
InactivePacific Life Insurance Company301848Agent - Life2/17/200012/11/2002
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/8/200112/11/2002
InactivePrimerica Life Insurance Company300970Agent - Life6/8/199812/9/1998
InactivePrincipal Life Insurance Company300129Agent - Health6/21/199912/11/2002
InactivePrincipal Life Insurance Company300129Agent - Life6/21/199912/11/2002
InactiveReassure America Life Insurance Company301902Agent - Health2/24/199912/11/2002
InactiveReassure America Life Insurance Company301902Agent - Life2/24/199912/11/2002
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life10/26/20004/16/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health1/5/19994/19/2004
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/5/19994/19/2004
InactiveU.S. Financial Life Insurance Company301812Agent - Health2/26/20017/6/2005
InactiveU.S. Financial Life Insurance Company301812Agent - Life2/26/20017/6/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/17/199911/22/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/17/199911/22/2005
Inactive300277Agent - Life2/27/200312/10/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life2/25/19992/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health2/25/19992/28/2003
InactiveEmployee Benefits Administrators, Inc.401273Agent - Life8/5/19992/28/2006
InactiveEmployee Benefits Administrators, Inc.401273Agent - Health8/5/19992/28/2006

© Commonwealth of Kentucky. All rights reserved.