DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lievens, Matthew S	DOIID	600951	NAIC NPN	245672

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/7/2005		1/31/2026
Active	Non Resident	Agent	Life	1/7/2005		1/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Assurance Company	300586	Agent - Health	6/19/2009	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	6/19/2009	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Health	11/12/2018
Active	American General Life Insurance Company	301585	Agent - Life	11/12/2018
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/20/2011	12/31/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/20/2011	12/31/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/19/2019	12/31/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/11/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/11/2021
Active	North River Insurance Company (The)	301739	Agent - Health	2/20/2009
Active	United States Fire Insurance Company	582240	Agent - Health	2/20/2009
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	5/28/2013
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	5/28/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trupoint Marketing LLC	780430	Agent - Life	4/27/2012
Active	Trupoint Marketing LLC	780430	Agent - Health	4/27/2012