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DEPARTMENT OF INSURANCE
Affiliations
Name
Black, Matthew Franklin
DOIID
330762
NAIC NPN
7177511
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health Maintenance Organization
2/3/1999
3/1/2001
Inactive
Resident
Agent
Life
6/8/1998
2/28/2006
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
12/11/2002
Inactive
Resident
Agent
Health
1/5/1999
2/28/2006
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
12/19/2002
12/8/2005
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
12/19/2002
12/8/2005
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
3/29/1999
3/12/2003
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
3/29/1999
3/12/2003
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
8/20/2001
12/11/2002
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
8/20/2001
12/11/2002
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Variable Life and Variable Annuities
8/20/2001
12/11/2002
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/25/1999
12/11/2002
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/25/1999
12/11/2002
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
2/11/2004
12/8/2005
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
2/11/2004
12/8/2005
Inactive
Canada Life Assurance Company
301192
Agent - Health
5/16/2000
12/11/2002
Inactive
Canada Life Assurance Company
301192
Agent - Life
5/22/2000
12/11/2002
Inactive
Continental Casualty Company
301019
Agent - Health
7/8/2002
11/29/2004
Inactive
First Colony Life Insurance Company
301179
Agent - Life
1/8/2001
12/11/2002
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
2/11/2004
2/28/2006
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
2/11/2004
2/28/2006
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
2/28/2006
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
2/3/1999
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
2/3/1999
2/28/2006
Inactive
Humana Insurance Company
301104
Agent - Life
2/3/1999
2/28/2006
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/30/2004
2/28/2006
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/30/2004
2/28/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/22/2002
12/11/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/27/1999
12/11/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/11/2001
12/11/2002
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
4/14/2000
1/22/2002
Inactive
Pacific Life Insurance Company
301848
Agent - Life
2/17/2000
12/11/2002
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/8/2001
12/11/2002
Inactive
Primerica Life Insurance Company
300970
Agent - Life
6/8/1998
12/9/1998
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/21/1999
12/11/2002
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/21/1999
12/11/2002
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
2/24/1999
12/11/2002
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
2/24/1999
12/11/2002
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
10/26/2000
4/16/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
1/5/1999
4/19/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/5/1999
4/19/2004
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
2/26/2001
7/6/2005
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
2/26/2001
7/6/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
12/17/1999
11/22/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
12/17/1999
11/22/2005
Inactive
300277
Agent - Life
2/27/2003
12/10/2004
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
2/25/1999
2/28/2003
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
2/25/1999
2/28/2003
Inactive
Employee Benefits Administrators, Inc.
401273
Agent - Life
8/5/1999
2/28/2006
Inactive
Employee Benefits Administrators, Inc.
401273
Agent - Health
8/5/1999
2/28/2006
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