DEPARTMENT OF INSURANCE

Affiliations

Name	Freeman, Matthew Ross	DOIID	646597	NAIC NPN	9003783

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/23/2010	7/1/2016
Inactive	Resident	Agent	Life	6/23/2010	7/1/2016
Inactive	Resident	Agent	Casualty	1/9/2007	7/1/2016
Inactive	Resident	Agent	Property	1/9/2007	7/1/2016
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/1/2011	4/18/2011
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/1/2011	4/18/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/11/2012	7/1/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/11/2012	7/1/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	11/14/2013	7/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/1/2013	7/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/1/2013	7/1/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	12/6/2012	7/1/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/21/2014	5/28/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/14/2007	7/1/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/21/2014	5/28/2015
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	1/9/2007	12/28/2009
Inactive	FB Insurance Company (The)	301763	Agent - Health	1/4/2007	12/28/2009
Inactive	FB Insurance Company (The)	301763	Agent - Property	1/9/2007	12/28/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2011	7/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2011	7/1/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/31/2010	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/31/2010	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/11/2014	7/1/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/18/2012	10/22/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	7/1/2011	6/14/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/28/2013	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/28/2013	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2014	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/28/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/28/2013	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/28/2013	5/20/2014
Inactive	Independent Order of Foresters	300743	Agent - Life	4/12/2012	12/26/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/27/2014	5/28/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/27/2014	5/28/2015
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	1/9/2007	12/28/2009
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	1/4/2007	12/28/2009
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	1/9/2007	12/28/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/18/2012	10/22/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	7/12/2012	6/24/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/1/2010	12/23/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/1/2010	12/23/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/4/2007	12/28/2009
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/4/2007	12/28/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	7/28/2010	11/23/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/28/2010	11/23/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/18/2012	10/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/18/2012	10/22/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/14/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/14/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/18/2011	11/16/2011
Inactive	Wysh Life and Health Insurance Company	779030	Agent - Health	10/15/2012	3/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cox And Freeman Insurance LLC	733128	Agent - Casualty	7/27/2010	7/11/2011
Denied	Cox And Freeman Insurance LLC	733128	Agent - Property
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/11/2012	7/1/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/11/2012	7/1/2016
Inactive	Freeman Insurance Group	752301	Agent - Casualty	4/18/2011	7/1/2016
Inactive	Freeman Insurance Group	752301	Agent - Health	4/18/2011	7/1/2016
Inactive	Freeman Insurance Group	752301	Agent - Life	4/18/2011	7/1/2016
Inactive	Freeman Insurance Group	752301	Agent - Property	5/2/2011	7/1/2016
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	2/1/2007	12/22/2009
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	2/1/2007	12/22/2009
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	2/1/2007	12/22/2009
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	2/1/2007	12/22/2009
Inactive	Medlink Inc	400721	Agent - Health	7/26/2010	7/1/2016
Inactive	Medlink Inc	400721	Agent - Life	7/26/2010	7/1/2016