DEPARTMENT OF INSURANCE

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.

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