DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Canizio, Matthew Ernest	DOIID	740875	NAIC NPN	8990126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/25/2010	5/31/2013
Inactive	Non Resident	Agent	Life	12/17/2010	5/31/2013
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/25/2012	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/25/2012	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/25/2012	5/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/25/2012	5/31/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/25/2012	5/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/26/2012	11/7/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/26/2012	11/7/2012
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2012	11/7/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2012	11/7/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/26/2012	11/7/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/26/2012	11/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/26/2012	11/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/26/2012	11/7/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	12/28/2010	6/8/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	9/18/2012	5/31/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/1/2010	12/26/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/25/2012	5/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/25/2012	5/31/2013
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/11/2011	6/5/2012
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	3/11/2011	6/5/2012