DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Frontier Insurance Distribution LLC	DOIID	1309175	NAIC NPN	17679435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/6/2023		3/31/2027
Active	Non Resident	Agent	Health	11/6/2023		3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Life	1/22/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/19/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/22/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/19/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/19/2024
Active	American Life & Security Corp	1055058	Agent - Life	2/9/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/1/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/23/2024	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/23/2024	2/3/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/22/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/22/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	2/23/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	2/23/2025
Active	Royal Neighbors of America	301646	Agent - Life	3/13/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/19/2024
Active	Tier One Insurance Company	301056	Agent - Health	11/19/2024
Active	Tier One Insurance Company	301056	Agent - Life	11/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/1/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Graham, Matthew B	640480	Agent - Health	12/12/2024
Active	Graham, Matthew B	640480	Agent - Life	12/12/2024
Inactive	Tebyani, Frank	1254998	Agent - Health	11/6/2023	12/12/2024
Inactive	Tebyani, Frank	1254998	Agent - Life	11/6/2023	12/12/2024