DEPARTMENT OF INSURANCE

Affiliations

Name	Hackett, Matthew	DOIID	852019	NAIC NPN	17362184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/14/2014	11/30/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	12/13/2022		11/30/2025
* 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
Staff Adjuster	09/15/2025	11/30/2025

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	4/6/2018	11/30/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/17/2018	11/30/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/6/2018	11/30/2019
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	7/27/2018	11/30/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/12/2018	11/30/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	5/1/2018	12/19/2019
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	7/21/2018	11/30/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/16/2014	2/27/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/17/2018	11/30/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/1/2018	12/10/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/6/2018	11/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/16/2019	11/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/16/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/1/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	5/1/2018	11/30/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/1/2018	12/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/1/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	5/1/2018	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/16/2014	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	11/30/2019
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	11/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/14/2018	11/30/2019
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/6/2015	2/23/2018