DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Matthew John	DOIID	340828	NAIC NPN	7187401

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/9/2006	6/1/2012
Inactive	Resident	Agent	Health	10/9/2006	6/1/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	6/1/2004	5/31/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/1/2004	5/31/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/7/2004	5/31/2006
Inactive	Humana Insurance Company	301104	Agent - Health	4/7/2004	5/31/2006
Inactive	Humana Insurance Company	301104	Agent - Life	4/7/2004	5/31/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/28/2006	6/5/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/28/2006	6/5/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/20/2004	5/31/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/20/2004	5/31/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	7/6/2005	5/31/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/15/2005	5/31/2006
Inactive	United World Life Insurance Company	300532	Agent - Health	7/15/2005	5/31/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	12/15/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	12/15/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2009	7/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/12/2009	7/31/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/12/2009	7/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/12/2009	7/31/2012

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 - Health	6/2/2004	5/31/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/2/2004	5/31/2006
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/26/2008	6/1/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/26/2008	6/1/2012