DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mora, Matthew Valencia	DOIID	853429	NAIC NPN	1079452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/23/2022	6/30/2022
Inactive	Non Resident	Agent	Health	10/12/2020	6/30/2022
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	10/15/2014	6/30/2016
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/20/2021	9/16/2021
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/20/2021	9/16/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2020	9/16/2021
Inactive	Humana Insurance Company	301104	Agent - Health	4/20/2021	9/16/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/25/2020	9/16/2021
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/13/2020	9/16/2021
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	4/2/2015	9/1/2015

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	10/15/2014	6/30/2016
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/30/2021	9/16/2021