DEPARTMENT OF INSURANCE

Affiliations

Name	Dicken, Matthew James	DOIID	333092	NAIC NPN	1497014

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/25/1997		4/30/2026
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001		4/30/2026
Active	Non Resident	Agent	Life	2/25/1997		4/30/2026
Inactive	Resident	Agent	Health Maintenance Organization	6/15/1999	3/1/2001
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/4/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/13/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/4/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/4/2020
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/13/2008	12/28/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	5/7/2018
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	5/7/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	12/13/2019	8/11/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	4/19/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/26/2002	10/8/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/26/2002	10/8/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	11/16/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	11/16/2006	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	11/16/2006	10/25/2012
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	5/19/2008	4/3/2009
Inactive	American National Insurance Company	301861	Agent - Health	10/29/2009	11/10/2011
Active	American National Insurance Company	301861	Agent - Life	6/22/2023
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/6/2023
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	6/17/2009	9/15/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/17/2021	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/25/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/17/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/17/2021	12/20/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2020
Active	Aspida Life Insurance Company	301934	Agent - Life	8/15/2023
Active	Athene Annuity and Life Company	301893	Agent - Life	6/28/2016
Active	Augustar Life Insurance Company	301816	Agent - Life	10/25/2023
Active	Bankers Fidelity Assurance Company	554627	Agent - Health	5/24/2022
Active	Bankers Fidelity Assurance Company	554627	Agent - Life	5/24/2022
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Health	5/24/2022
Active	Bankers Fidelity Life Insurance Company	300193	Agent - Life	5/24/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/22/2002	9/5/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/22/2002	9/5/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	4/10/2000	4/15/2005
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/26/2018
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/8/2004	5/13/2014
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/8/2004	5/13/2014
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/8/2022
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	6/8/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	12/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/13/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/29/2022
Inactive	EMC National Life Company	300388	Agent - Health	10/8/2004	9/15/2009
Inactive	EMC National Life Company	300388	Agent - Life	10/8/2004	9/15/2009
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	10/26/2012	5/14/2022
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/8/2018
Active	Forethought Life Insurance Company	301407	Agent - Health	3/3/2017
Active	Forethought Life Insurance Company	301407	Agent - Life	3/3/2017
Active	GBU Financial Life	1133683	Agent - Life	7/9/2022
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/16/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/16/2015	12/14/2016
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	3/17/2021	3/18/2022
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	12/21/2004	9/5/2006
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Variable Life and Variable Annuities	12/15/2003	9/5/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/22/2002	9/5/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/22/2002	9/5/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/29/2004	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/29/2004	12/11/2009
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/23/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/22/2004	11/28/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/15/1999	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	10/23/2020
Inactive	Humana Insurance Company	301104	Agent - Life	6/22/2004	11/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/22/2004	11/28/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/22/2004	11/28/2009
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/23/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/23/2020
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	5/12/2022
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/27/2005	11/30/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/29/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/29/2003	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	10/29/2003	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/14/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/14/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	10/5/2015	12/20/2016
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	4/13/2021	12/30/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Health	3/10/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	3/10/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/13/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/13/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	12/13/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/19/2009	9/20/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/20/2018	12/1/2021
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/8/2004	5/13/2014
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/10/2019
Active	Medico Insurance Company	301559	Agent - Health	1/19/2023
Active	Medico Insurance Company	301559	Agent - Life	1/19/2023
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	7/30/2021	12/21/2022
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	7/30/2021	12/21/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/8/2010	6/20/2014
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	4/10/2000	4/15/2005
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	4/10/2000	4/15/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/22/2013	6/20/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/26/2018	12/8/2020
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/13/2005	4/12/2021
Active	Midland National Life Insurance Company	300923	Agent - Life	4/9/2005
Active	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	7/13/2005
Active	Minnesota Life Insurance Company	300488	Agent - Health	5/3/2016
Active	Minnesota Life Insurance Company	300488	Agent - Life	5/3/2016
Active	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	5/3/2016
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	5/19/2004	1/5/2017
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	5/19/2004	1/5/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/4/2016	11/22/2016
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	5/27/2014	3/30/2015
Active	National Health Insurance Company	300554	Agent - Health	6/8/2022
Active	National Health Insurance Company	300554	Agent - Life	6/8/2022
Inactive	National Western Life Insurance Company	301515	Agent - Life	5/25/2020	7/20/2022
Active	Nationwide Life Insurance Company	300495	Agent - Health	5/26/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	5/26/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	8/26/2020	12/12/2022
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/26/2020	12/12/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/29/2009	4/12/2021
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/14/2012
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	3/5/1999	3/29/2005
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Life	3/5/1999	3/29/2005
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	2/25/1997	7/15/2002
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	2/25/1997	7/15/2002
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Variable Life and Variable Annuities	3/27/2001	7/15/2002
Active	Oceanview Life and Annuity Company	301868	Agent - Life	2/22/2023
Active	Oxford Life Insurance Company	301079	Agent - Life	8/25/2023
Active	Pacific Guardian Life Insurance Co., Ltd.	1074040	Agent - Life	2/10/2024
Active	Pacific Life Insurance Company	301848	Agent - Health	5/16/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	5/16/2019
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	2/28/2003	12/11/2013
Active	Penn Insurance and Annuity Company	300712	Agent - Life	8/5/2020
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	8/5/2020
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/31/2008	10/26/2010
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/31/2008	10/26/2010
Active	Protective Life Insurance Company	300638	Agent - Health	11/23/2023
Active	Protective Life Insurance Company	300638	Agent - Life	11/23/2023
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	11/23/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/10/2003	12/17/2004
Active	Pruco Life Insurance Company	300954	Agent - Life	2/8/2023
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/6/2009	12/23/2014
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/6/2009	12/23/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	1/3/2007	12/19/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/3/2007	9/27/2008
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	6/9/2020	5/17/2023
Active	Security Benefit Life Insurance Company	300583	Agent - Life	4/20/2011
Active	SilverScript Insurance Company	663526	Agent - Health	8/4/2020
Inactive	Standard Insurance Company	300185	Agent - Health	2/10/2006	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	2/10/2006	12/5/2022
Active	Symetra Life Insurance Company	301691	Agent - Health	9/21/2016
Active	Symetra Life Insurance Company	301691	Agent - Life	9/21/2016
Active	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	9/21/2016
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	9/6/2012	12/19/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/8/2010	1/4/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/8/2010	1/4/2011
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/2/2004	9/26/2007
Active	United Life Insurance Company	664766	Agent - Life	4/26/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/6/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/6/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	11/14/2002	10/17/2005
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/8/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/30/2004	11/30/2016
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/8/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/30/2004	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/30/2004	11/30/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/8/2022
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	10/20/2005	10/19/2012
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	10/20/2005	10/19/2012
Inactive		300277	Agent - Life	6/2/2005	12/21/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	1/11/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	12/22/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	12/22/2022
Inactive	Medlink Inc	400721	Agent - Life	5/13/2004	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	5/13/2004	3/31/2024
Active	Strategic Wealth Designers, LLC	563264	Agent - Life	3/24/2003
Active	Strategic Wealth Designers, LLC	563264	Agent - Health	3/24/2003
Active	Strategic Wealth Designers, LLC	563264	Agent - Variable Life and Variable Annuities	6/5/2023