DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Korsmo, Matthew William	DOIID	563389	NAIC NPN	6375346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/21/2003	5/31/2005
Inactive	Non Resident	Agent	Health	1/21/2003	5/31/2005
* 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	Time Insurance Company	300683	Agent - Health	4/19/2005	5/31/2005
Inactive	Time Insurance Company	300683	Agent - Life	4/19/2005	5/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Insurance Answer Center LLC	401337	Agent - Health
Denied	Insurance Answer Center LLC	401337	Agent - Life