DEPARTMENT OF INSURANCE

Affiliations

Name	Krosecky, Matthew E	DOIID	900914	NAIC NPN	17791291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/17/2018	10/31/2025
Active	Non Resident	Agent	Health	10/17/2018	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
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	5/6/2016	10/31/2017
Inactive	Accendo Insurance Company	300312	Agent - Health	2/22/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/8/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/27/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/26/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/8/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/22/2017	10/31/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	9/1/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	4/27/2020	8/11/2021
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	12/13/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	7/1/2016	5/24/2017
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	7/1/2016	5/24/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/14/2021	2/26/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	8/9/2019	12/1/2020
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/29/2016	5/24/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/29/2016	5/24/2017
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/20/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/11/2020	12/9/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2021
Active	Federal Insurance Company	301144	Agent - Health	11/7/2022
Inactive	Federal Life Insurance Company	300945	Agent - Health	11/2/2023	1/16/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/22/2017	10/31/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/10/2015	6/23/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/10/2015	6/23/2016
Active	Golden Rule Insurance Company	301943	Agent - Health	7/17/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	7/17/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/8/2024	4/11/2025
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/8/2024	4/11/2025
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/26/2019	4/1/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/14/2022
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	12/19/2022
Inactive	National Health Insurance Company	300554	Agent - Health	1/14/2016	6/27/2016
Inactive	National Health Insurance Company	300554	Agent - Life	1/14/2016	10/31/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/1/2016	4/19/2017
Inactive	Omaha Insurance Company	751908	Agent - Health	8/30/2016	10/31/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Active	Transamerica Life Insurance Company	300571	Agent - Health	2/13/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	2/13/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/9/2019	10/22/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/13/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/13/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/13/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/13/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/16/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/16/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health
Active	Healthcare Innovation Advisors LLC	1249428	Agent - Health	1/3/2023