DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clifford, Matthew W	DOIID	808488	NAIC NPN	16943366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/3/2016		12/31/2025
Active	Resident	Agent	Health	3/3/2016		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2014	12/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2014	12/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Benefit Ins Marketing Inc	398449	Agent - Health
Denied	Benefit Ins Marketing Inc	398449	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/22/2014	12/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/22/2014	12/31/2015