DEPARTMENT OF INSURANCE

Affiliations

Name	Vysoky, Matthew Gerard	DOIID	644033	NAIC NPN	8272593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/2/2024	5/31/2026
Active	Non Resident	Agent	Health	7/2/2024	5/31/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/9/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/9/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	7/9/2024
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	4/8/2009	9/30/2009
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/18/2009	5/31/2014
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	2/15/2007	5/31/2014
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	2/15/2007	5/31/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/16/2008	5/17/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/30/2008	5/17/2010
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/8/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/8/2010	12/26/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2012	5/1/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	12/13/2010	12/31/2013
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	12/5/2006	2/18/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/29/2008	12/26/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Life	2/29/2008	12/26/2012
Inactive	SILAC Insurance Company	300535	Agent - Health	6/9/2008	5/31/2014
Inactive	SILAC Insurance Company	300535	Agent - Life	6/9/2008	5/31/2014
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/21/2008	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/21/2008	3/31/2009
Active	SilverScript Insurance Company	663526	Agent - Health	7/9/2024
Inactive	Sterling Life Insurance Company	301947	Agent - Health	10/20/2011	11/30/2012
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	10/6/2008	12/8/2010
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	10/6/2008	12/8/2010
Inactive	United World Life Insurance Company	300532	Agent - Health	2/29/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/1/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/1/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2011	5/31/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/12/2011	5/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	10/16/2009	5/31/2014
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	10/16/2009	5/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	5/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	5/31/2014
Active	Mgv Enterprises Inc.	1348532	Agent - Health	7/3/2024
Active	Mgv Enterprises Inc.	1348532	Agent - Life	7/3/2024