DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Frank, Matthew Berlin	DOIID	589392	NAIC NPN	8092706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/1/2004	2/1/2011
Inactive	Resident	Agent	Life	6/1/2004	2/1/2011
* 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	American General Life Insurance Company	301585	Agent - Health	7/13/2004	3/17/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	7/13/2004	3/17/2011
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/17/2004	10/19/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/17/2004	10/19/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/8/2005	12/4/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/17/2004	10/19/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/17/2004	10/19/2004
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/1/2006	9/2/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/1/2006	9/2/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/26/2005	2/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIA	527160	Agent - Health	3/17/2006	2/1/2011
Inactive	CBIA	527160	Agent - Life	3/17/2006	2/1/2011