DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rasmussen, Matilda Jane	DOIID	623550	NAIC NPN	8669610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/10/2006	3/31/2015
Inactive	Non Resident	Agent	Life	1/10/2006	3/31/2015
* 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	ACE American Insurance Company	300625	Agent - Health	11/30/2011	4/23/2013
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	11/5/2008	7/27/2010
Inactive	Balboa Life Insurance Company	301327	Agent - Health	1/14/2010	5/2/2011
Inactive	Balboa Life Insurance Company	301327	Agent - Life	1/14/2010	5/2/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/13/2012	3/31/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/13/2012	3/31/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/17/2009	5/23/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/17/2009	5/23/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2011	12/26/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/13/2006	3/31/2015
Inactive	Revol One Insurance Company	300681	Agent - Life	8/28/2009	9/24/2009
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/19/2008	5/16/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/19/2008	5/16/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/30/2008	5/16/2013
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/30/2008	5/16/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/21/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/21/2011	12/26/2012
Inactive	WellCare Health Insurance of Arizona, Inc.	501692	Agent - Health	2/5/2009	6/12/2009
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/5/2009	6/12/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Contact Services	546831	Agent - Life	4/3/2012	3/31/2014
Inactive	Global Contact Services	546831	Agent - Health	4/3/2012	3/31/2014