DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Matthew BryanDOIID536629NAIC NPN7219229
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth1/7/2002 4/30/2026
ActiveResidentAgentLife5/16/2003 4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202604/30/2026   
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 
InactiveAnthem Life Insurance Company301209Agent - Health4/14/20154/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life4/14/20154/15/2025
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
ActiveIndependent Order of Foresters300743Agent - Life5/19/2025 
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 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health10/4/2025 
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
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Life12/4/20174/17/2025
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
ActiveUnited American Insurance Company300910Agent - Health8/1/2025 
ActiveUnited American Insurance Company300910Agent - Life8/1/2025 
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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