DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Matthew, Brent	DOIID	731128	NAIC NPN	10400042

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/12/2022		10/31/2024
Active	Non Resident	Agent	Health	9/12/2022		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

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	10/26/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/26/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/26/2022
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	10/24/2022
Active	Athene Annuity and Life Company	301893	Agent - Life	9/22/2022
Inactive	National Western Life Insurance Company	301515	Agent - Life	12/21/2010	10/31/2016
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	6/8/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/8/2023
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	3/25/2011	10/31/2016
Active	SilverScript Insurance Company	663526	Agent - Health	10/26/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	10/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/20/2015	5/20/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/20/2015	5/20/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joshua David Mellberg LLC	859326	Agent - Life	7/21/2015	8/31/2016
Denied	United Planners Financial Services of America	398106	Agent - Health
Inactive	United Planners Financial Services of America	398106	Agent - Life	11/27/2013	3/25/2014