DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hartz, Mathew Todd	DOIID	728558	NAIC NPN	15667994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/18/2010		1/31/2026
Active	Non Resident	Agent	Health	5/18/2010		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	Mutual of Omaha Insurance Company	301012	Agent - Health	2/14/2012
Active	Mutual of Omaha Insurance Company	301012	Agent - Life	3/5/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C.M.G. Agency, Inc.	554100	Agent - Life	3/5/2012
Active	C.M.G. Agency, Inc.	554100	Agent - Health	2/14/2012