DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Monk, Matthew Randall	DOIID	765691	NAIC NPN	7824643

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/4/2011	5/31/2014
Inactive	Non Resident	Agent	Health	10/4/2011	5/31/2014
* 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	11/4/2011	5/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/4/2011	5/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/4/2011	5/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	3/28/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/27/2011	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/27/2011	6/11/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/10/2012	3/28/2012
Inactive	Health Net Life Insurance Company	620945	Agent - Health	11/14/2011	11/13/2012
Inactive	Health Net Life Insurance Company	620945	Agent - Life	11/14/2011	11/13/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/2/2011	3/28/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/7/2011	3/28/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/7/2011	3/28/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2011	3/28/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2012	3/28/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2011	8/2/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/25/2011	8/2/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Longevity Alliance Inc	658429	Agent - Life	11/30/2011	5/31/2014
Inactive	Longevity Alliance Inc	658429	Agent - Health	11/30/2011	5/31/2014