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.

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