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.

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