DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Matthew	DOIID	1282307	NAIC NPN	20728966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/27/2023	11/30/2024
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/20/2023	11/30/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/20/2023	11/30/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/20/2023	11/30/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/28/2023	11/30/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	11/28/2023	11/30/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/28/2023	11/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/20/2023	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	1/23/2024	12/6/2024
Inactive	Trubridge Inc	717747	Agent - Health	1/11/2024	4/26/2024