DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Matthew BryanDOIID536629NAIC NPN7219229
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/16/2003 4/30/2026
ActiveResidentAgentHealth1/7/2002 4/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health2/16/2023 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/16/2023 
ActiveAetna Life Insurance Company301140Agent - Health2/16/2023 
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/9/200311/20/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/9/200311/20/2007
ActiveAmerican Benefit Life Insurance Company301002Agent - Life8/30/2024 
InactiveAmerican Continental Insurance Company643130Agent - Health12/19/201111/11/2014
InactiveAmerican Continental Insurance Company643130Agent - Life8/13/201512/15/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/14/20035/5/2014
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/14/20035/5/2014
InactiveAmerican General Life Insurance Company301585Agent - Health5/7/202110/14/2022
InactiveAmerican General Life Insurance Company301585Agent - Life5/7/202110/14/2022
InactiveAmerican Heritage Life Insurance Company300272Agent - Health5/19/20037/19/2006
InactiveAmerican Heritage Life Insurance Company300272Agent - Life5/19/20037/19/2006
InactiveAmerican Medical and Life Insurance Company301598Agent - Health1/28/20096/14/2012
InactiveAmerican Memorial Life Insurance Company301445Agent - Life1/9/20126/5/2013
InactiveAmerican National Insurance Company301861Agent - Health12/7/20165/27/2021
InactiveAmerican National Insurance Company301861Agent - Life12/7/20165/27/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health2/2/201612/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life2/2/201612/22/2020
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Health4/1/20057/19/2005
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life9/20/20178/19/2019
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health5/16/200611/26/2008
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life5/1/20097/7/2020
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/2021 
ActiveAnthem Life Insurance Company301209Agent - Health4/14/2015 
ActiveAnthem Life Insurance Company301209Agent - Life4/14/2015 
ActiveArcadian Health Plan, Inc.728196Agent - Health3/20/2023 
InactiveAssurity Life Insurance Company301099Agent - Health4/1/201012/27/2016
InactiveAssurity Life Insurance Company301099Agent - Life4/1/201012/27/2016
InactiveAthene Annuity and Life Company301893Agent - Life11/25/20033/5/2005
InactiveBanner Life Insurance Company301696Agent - Life7/3/200711/3/2011
InactiveCHA HMO, Inc.300662Agent - Health1/5/200512/10/2012
ActiveCICA Life Insurance Company of America600487Agent - Life11/20/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Health2/27/201812/22/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCentral States Health and Life Company of Omaha301874Agent - Health10/16/200312/27/2003
InactiveCentral States Health and Life Company of Omaha301874Agent - Life10/16/200312/27/2003
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/26/20054/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/26/20054/1/2007
InactiveColorado Bankers Life Insurance Company301845Agent - Health6/3/20088/7/2013
InactiveColorado Bankers Life Insurance Company301845Agent - Life6/3/20088/7/2013
InactiveColumbian Life Insurance Company300810Agent - Life12/17/201211/21/2014
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/201012/8/2015
InactiveCompanion Life Insurance Company300191Agent - Health7/21/20042/9/2007
InactiveCompanion Life Insurance Company300191Agent - Life7/21/20042/9/2007
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental General Insurance Company300691Agent - Health11/9/200511/28/2008
InactiveContinental General Insurance Company300691Agent - Life11/9/200511/28/2008
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health12/19/2011 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/22/2021 
InactiveDental Concern Inc. (The)301641Agent - Health12/15/202212/12/2024
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/4/2024 
InactiveEverly Life Insurance Company561641Agent - Life4/2/201811/14/2018
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/11/200312/22/2005
ActiveForethought Life Insurance Company301407Agent - Life5/28/2019 
InactiveGerber Life Insurance Company300529Agent - Health6/2/20142/9/2018
InactiveGerber Life Insurance Company300529Agent - Life6/2/20142/9/2018
ActiveGolden Rule Insurance Company301943Agent - Health12/2/2005 
ActiveGolden Rule Insurance Company301943Agent - Life12/2/2005 
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life1/17/20222/12/2025
ActiveGreat Western Insurance Company501693Agent - Life7/11/2022 
ActiveGuarantee Trust Life Insurance Company301043Agent - Health3/30/2023 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life3/30/2023 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/14/2018 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/3/2018 
InactiveHumana Health Plan, Inc.300142Agent - Health3/25/20027/14/2017
ActiveHumana Insurance Company301104Agent - Health3/14/2018 
ActiveHumana Insurance Company301104Agent - Life3/14/2018 
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/10/201512/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/10/201512/8/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health3/14/201812/13/2022
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health3/14/2018 
InactiveHumanaDental Insurance Company301457Agent - Health3/19/20125/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life3/19/20125/13/2013
InactiveIndependent Order of Foresters300743Agent - Life7/7/202212/24/2024
InactiveKanawha Insurance Company300127Agent - Health4/11/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life4/11/200810/22/2015
InactiveLiberty Bankers Life Insurance Company542461Agent - Life11/16/201211/29/2016
InactiveLife Investors Insurance Company of America301793Agent - Health5/15/200810/2/2008
InactiveLife Investors Insurance Company of America301793Agent - Life5/15/200810/2/2008
ActiveLifeShield National Insurance Company737111Agent - Health10/13/2024 
ActiveLifeShield National Insurance Company737111Agent - Life10/13/2024 
InactiveLincoln Heritage Life Insurance Company500016Agent - Health12/9/200812/16/2011
InactiveLincoln Heritage Life Insurance Company500016Agent - Life12/9/200812/16/2011
InactiveLumico Life Insurance Company300354Agent - Life4/20/20226/12/2023
InactiveMarkel Insurance Company301475Agent - Health6/20/201112/19/2011
ActiveMedico Corp Life Insurance Company301777Agent - Health2/26/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life2/26/2025 
ActiveMedico Insurance Company301559Agent - Health11/1/2023 
ActiveMedico Insurance Company301559Agent - Life11/1/2023 
InactiveMutual of Omaha Insurance Company301012Agent - Health10/31/20081/3/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Health8/24/200412/29/2004
InactiveNassau Life Insurance Company of Kansas300667Agent - Life8/24/200412/29/2004
InactiveNational Guardian Life Insurance Company300596Agent - Health3/17/20049/9/2005
InactiveNational Guardian Life Insurance Company300596Agent - Life10/9/201412/21/2015
InactiveNorth American Company for Life and Health Insurance300291Agent - Life11/21/20165/16/2018
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life12/4/2017 
InactiveOmaha Insurance Company751908Agent - Health4/2/20135/6/2013
InactivePeoples Benefit Life Insurance Company301895Agent - Health7/3/20038/4/2006
InactivePeoples Benefit Life Insurance Company301895Agent - Life7/3/20038/4/2006
InactivePhiladelphia American Life Insurance Company300178Agent - Health10/18/20215/9/2024
InactivePhiladelphia American Life Insurance Company300178Agent - Life10/18/20215/9/2024
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/24/2009
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/24/2009
InactiveReliaStar Life Insurance Company301712Agent - Life6/17/200810/5/2012
InactiveReserve National Insurance Company301073Agent - Health1/2/20136/12/2015
InactiveReserve National Insurance Company301073Agent - Life1/2/20136/12/2015
InactiveRoyal Neighbors of America301646Agent - Life10/9/20146/12/2023
InactiveS.USA Life Insurance Company, Inc.301774Agent - Health2/21/20198/4/2022
InactiveS.USA Life Insurance Company, Inc.301774Agent - Life12/18/20178/4/2022
InactiveSecurity Life Insurance Company of America300936Agent - Health10/25/20051/10/2013
InactiveSecurity Life Insurance Company of America300936Agent - Life10/25/20051/10/2013
InactiveSenior Life Insurance Company558267Agent - Life5/20/201610/6/2016
ActiveSentinel Security Life Insurance Company935789Agent - Life10/11/2023 
ActiveSilverScript Insurance Company663526Agent - Health2/16/2023 
ActiveSouthern Financial Life Insurance Company300664Agent - Life4/13/2022 
InactiveState Life Insurance Company301497Agent - Health12/11/200310/23/2007
InactiveState Life Insurance Company301497Agent - Life12/11/200310/23/2007
InactiveStonebridge Life Insurance Company301614Agent - Health5/30/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life5/30/201210/1/2015
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life2/27/2023 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/19/2022 
InactiveTime Insurance Company300683Agent - Health6/4/20031/20/2012
InactiveTime Insurance Company300683Agent - Life6/4/20031/20/2012
ActiveTransamerica Life Insurance Company300571Agent - Health9/9/2024 
ActiveTransamerica Life Insurance Company300571Agent - Life9/9/2024 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/16/20146/15/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/16/20146/15/2020
InactiveTrinity Life Insurance Company552459Agent - Life7/15/201610/2/2019
InactiveUnited American Insurance Company300910Agent - Health5/6/200811/11/2008
InactiveUnited American Insurance Company300910Agent - Life5/6/200811/11/2008
InactiveUnited Heritage Life Insurance Company624799Agent - Health3/2/20121/19/2017
InactiveUnited Heritage Life Insurance Company624799Agent - Life3/2/20121/19/2017
ActiveUnited Home Life Insurance Company300421Agent - Life10/31/2024 
ActiveUnited Life Insurance Company664766Agent - Health3/19/2018 
ActiveUnited Life Insurance Company664766Agent - Life3/19/2018 
InactiveUnited World Life Insurance Company300532Agent - Health2/16/20211/14/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/5/20061/3/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/5/20061/3/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/6/2016 
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/7/20094/8/2015
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/6/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/31/20046/20/2006
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/31/20046/20/2006
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/7/20094/8/2015
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/6/2016 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health3/7/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/15/2022 
InactiveWestern National Life Insurance Company300461Agent - Life3/11/200411/21/2007
InactiveWorld Insurance Company300396Agent - Health6/8/201012/31/2012
InactiveWorld Insurance Company300396Agent - Life6/8/201012/31/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCBISA Reaquisitian Corp547026Agent - Life7/10/2003 
ActiveCBISA Reaquisitian Corp547026Agent - Health5/22/2003 
ActiveDesignated Agent Company Inc.681257Agent - Life12/13/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/13/2013 

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