DEPARTMENT OF INSURANCE

Affiliations

Name	Applequist, Matthew S	DOIID	928270	NAIC NPN	17996787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/9/2016	9/30/2024
Active	Non Resident	Agent	Health	9/9/2016	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/29/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/29/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	12/12/2016	12/27/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/5/2016	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	12/5/2016	12/21/2018
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/29/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/26/2017	9/24/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/3/2018	5/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	11/14/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/14/2017	6/8/2018
Inactive	Independent Life Insurance Company	301831	Agent - Health	3/16/2018	12/19/2018
Inactive	Independent Life Insurance Company	301831	Agent - Life	3/16/2018	12/19/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/1/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/1/2017	12/21/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	6/21/2017	1/22/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/8/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/2/2017	8/22/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	5/25/2017	8/8/2018
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/25/2017	8/8/2022
Inactive	SILAC Insurance Company	300535	Agent - Health	9/13/2016	4/6/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	9/13/2016	4/6/2018
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/9/2019	1/20/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/10/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/10/2019	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2019	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021