DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsey, Matthew David	DOIID	1025242	NAIC NPN	18817744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/12/2019	10/31/2021
Inactive	Non Resident	Agent	Health	1/12/2019	10/31/2021
Active	Non Resident	Staff Adjuster	Property & Casualty	6/8/2023		10/31/2025
* 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
Staff Adjuster	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/17/2019	5/2/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/17/2019	5/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	1/17/2019	5/2/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	1/17/2019	5/2/2019