DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Plank, Matthew David	DOIID	908867	NAIC NPN	15691537

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/22/2018		7/31/2026
Active	Non Resident	Agent	Health	10/22/2018		7/31/2026
Active	Non Resident	Agent	Casualty	10/22/2018		7/31/2026
Active	Non Resident	Agent	Property	10/22/2018		7/31/2026
* 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
Agent	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/16/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/16/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/16/2023	4/15/2025
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/18/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/18/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	5/5/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	5/5/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rippling Insurance Services, Inc.	1016257	Agent - Life	12/13/2018
Active	Rippling Insurance Services, Inc.	1016257	Agent - Health	12/13/2018
Active	Rippling Insurance Services, Inc.	1016257	Agent - Property	12/13/2018
Active	Rippling Insurance Services, Inc.	1016257	Agent - Casualty	12/13/2018