DEPARTMENT OF INSURANCE

Affiliations

Name	Conlon, Matthew	DOIID	715862	NAIC NPN	10184607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2021		7/31/2025
* 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
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/13/2017	6/15/2018
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/28/2013	6/8/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/7/2010	1/8/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/28/2013	6/8/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/11/2013	7/31/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/16/2009	8/15/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/25/2014	2/23/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/28/2013	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/28/2013	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/5/2021	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/28/2013	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/8/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/1/2011	2/24/2012
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Health	1/15/2015	11/21/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/28/2013	10/22/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	2/10/2010	11/4/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/18/2009	8/15/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/20/2013	3/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/20/2013	3/4/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/4/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	TZ Insurance Solutions LLC	727470	Agent - Health
Denied	Trubridge Inc	717747	Agent - Health