DEPARTMENT OF INSURANCE

Affiliations

Name	Matthys, Derek	DOIID	745068	NAIC NPN	8757698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/23/2010	10/31/2024
Active	Non Resident	Agent	Life	12/23/2010	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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/21/2014	4/25/2024
Active	Aetna Health Insurance Company	301583	Agent - Health	8/21/2014
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	4/25/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/21/2014	4/25/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/21/2014	4/25/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/27/2013
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/27/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2013	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/27/2013	6/11/2014
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/21/2014	4/25/2024
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	11/9/2013	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2013	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2013	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2013	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2013	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/17/2013	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2022	1/6/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	5/9/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	4/25/2024
Inactive	USAA Life Insurance Company	300734	Agent - Health	12/29/2010	1/9/2023
Inactive	USAA Life Insurance Company	300734	Agent - Life	12/29/2010	1/9/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/18/2019	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018	2/2/2023

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	1/12/2011	11/6/2019
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Life	1/12/2011	11/6/2019
Inactive	USAA Life General Agency Inc	399318	Agent - Health	9/24/2013	1/5/2023
Inactive	USAA Life General Agency Inc	399318	Agent - Life	9/24/2013	1/5/2023