DEPARTMENT OF INSURANCE

Affiliations

Name	Groll, Matthew Robert	DOIID	1002449	NAIC NPN	18733274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/26/2018	1/31/2026
Active	Non Resident	Agent	Life	7/26/2018	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	1/12/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/3/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/12/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/3/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/3/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/17/2018	7/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/18/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/18/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/10/2018	4/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/10/2018	4/28/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/17/2020	9/13/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/8/2024	6/11/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/13/2020	9/13/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	12/18/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/12/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/12/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/17/2018	7/8/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/17/2020	9/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/3/2020	9/15/2022
Active	Humana Insurance Company	301104	Agent - Health	6/17/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/20/2020	9/15/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/28/2020	9/15/2022
Active	SilverScript Insurance Company	663526	Agent - Health	2/3/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/8/2024	6/11/2025
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/26/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/31/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/26/2018	4/7/2020
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/8/2024	6/11/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/3/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	12/30/2021

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 - Life	8/10/2018	4/29/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/10/2018	4/29/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	7/1/2020	7/8/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	7/1/2020	7/21/2023