DEPARTMENT OF INSURANCE

Affiliations

Name	Hersum, Matthew Albert	DOIID	702906	NAIC NPN	13361180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/1/2009	5/31/2026
Active	Non Resident	Agent	Health	4/1/2009	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	8/24/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	8/24/2014
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/24/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	8/24/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/14/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	8/14/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/1/2010	5/20/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/14/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/14/2013	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/1/2010	5/20/2014
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/24/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/4/2012	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/4/2012	12/14/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2010	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2010	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2010	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/1/2010	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/1/2010	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/21/2014	11/19/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/21/2014	11/19/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/8/2013	2/13/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/8/2013	2/13/2014
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	USAA Direct Life Insurance Company	301773	Agent - Health	5/21/2010	6/10/2013
Inactive	USAA Direct Life Insurance Company	301773	Agent - Life	5/21/2010	6/10/2013
Active	USAA Life Insurance Company	300734	Agent - Health	4/10/2009
Active	USAA Life Insurance Company	300734	Agent - Life	4/10/2009
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/10/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Health	4/16/2009	11/6/2019
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	4/16/2009	11/6/2019
Active	USAA Life General Agency Inc	399318	Agent - Health	10/2/2012
Active	USAA Life General Agency Inc	399318	Agent - Life	10/2/2012