DEPARTMENT OF INSURANCE
Affiliations
NameMatlak, Kevin MichaelDOIID565034NAIC NPN7569656
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/28/2003 9/30/2026
ActiveNon ResidentAgentLife2/28/2003 9/30/2026
* 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
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/27/2018 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life9/27/2018 
ActiveAmerican General Life Insurance Company301585Agent - Health7/16/2011 
ActiveAmerican General Life Insurance Company301585Agent - Life7/16/2011 
InactiveAssurity Life Insurance Company301099Agent - Health3/6/201312/9/2014
InactiveAssurity Life Insurance Company301099Agent - Life3/6/201312/9/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Life10/31/201012/1/2010
InactiveBalboa Life Insurance Company301327Agent - Health12/15/20046/27/2005
InactiveBalboa Life Insurance Company301327Agent - Life12/15/20046/27/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/201410/29/2015
InactiveChase Insurance Life and Annuity Company300518Agent - Health9/28/20054/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/28/20054/1/2007
ActiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life1/25/2007 
InactiveGlobe Life and Accident Insurance Company300639Agent - Health5/21/20046/14/2006
InactiveGlobe Life and Accident Insurance Company300639Agent - Life5/21/20046/14/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/18/201111/14/2014
InactiveMutual of Omaha Insurance Company301012Agent - Health10/20/202112/29/2021
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/23/20154/22/2019
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/17/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/17/2010
ActivePruco Life Insurance Company300954Agent - Health2/6/2008 
ActivePruco Life Insurance Company300954Agent - Life2/6/2008 
InactiveRevol One Insurance Company300681Agent - Health3/4/200812/28/2012
InactiveRevol One Insurance Company300681Agent - Life3/4/20085/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health2/4/20139/16/2014
InactiveSymetra Life Insurance Company301691Agent - Life2/4/20139/16/2014
InactiveUnited World Life Insurance Company300532Agent - Health10/20/202112/29/2021
ActiveUnited of Omaha Life Insurance Company300156Agent - Health12/30/2021 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life12/30/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerica Direct Ins Agency Inc619155Agent - Health1/23/20073/31/2010
InactiveAmerica Direct Ins Agency Inc619155Agent - Life1/23/20073/31/2010
ActiveEfinancial LLC598419Agent - Health1/14/2010 
ActiveEfinancial LLC598419Agent - Life1/14/2010 

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