DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mann, Matthew T	DOIID	816904	NAIC NPN	17028002

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/9/2013	6/7/2018
Inactive	Non Resident	Agent	Life	8/9/2013	6/7/2018
* 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	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/15/2017	11/11/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/13/2017	11/11/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/15/2017	11/11/2017
Inactive	Humana Insurance Company	301104	Agent - Health	2/15/2017	11/11/2017
Inactive	Humana Insurance Company	301104	Agent - Life	2/15/2017	11/11/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/13/2017	11/11/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/13/2017	11/11/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/15/2017	11/11/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	4/20/2015	4/25/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/20/2015	4/25/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alight Health Market Insurance Solutions Inc	643602	Agent - Life
Denied	Alight Health Market Insurance Solutions Inc	643602	Agent - Health
Inactive	Aon Risk Services Central, Inc	502106	Agent - Life	4/25/2016	4/25/2016
Inactive	Aon Risk Services Central, Inc	502106	Agent - Health	4/25/2016	4/25/2016