DEPARTMENT OF INSURANCE

Affiliations

Name	Krosecky, Matthew E	DOIID	900914	NAIC NPN	17791291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/17/2018	10/31/2025
Active	Non Resident	Agent	Health	10/17/2018	10/31/2025
* 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	AXIS Insurance Company	301290	Agent - Health	5/6/2016	10/31/2017
Inactive	Accendo Insurance Company	300312	Agent - Health	2/22/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/8/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/27/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/8/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/22/2017	10/31/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/1/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	4/27/2020	8/11/2021
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	12/13/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	7/1/2016	5/24/2017
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	7/1/2016	5/24/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/14/2021	2/26/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	8/9/2019	12/1/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/29/2016	5/24/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/29/2016	5/24/2017
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/20/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/11/2020	12/9/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2021
Active	Federal Insurance Company	301144	Agent - Health	11/7/2022
Inactive	Federal Life Insurance Company	300945	Agent - Health	11/2/2023	1/16/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/22/2017	10/31/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/10/2015	6/23/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/10/2015	6/23/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	7/17/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	7/17/2019
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/8/2024
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/8/2024
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/26/2019	4/1/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/14/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	12/19/2022
Inactive	National Health Insurance Company	300554	Agent - Health	1/14/2016	6/27/2016
Inactive	National Health Insurance Company	300554	Agent - Life	1/14/2016	10/31/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/1/2016	4/19/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	8/30/2016	10/31/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/13/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/13/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/9/2019	10/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/13/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/13/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/13/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/13/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/16/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/16/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health
Active	Healthcare Innovation Advisors LLC	1249428	Agent - Health	1/3/2023