DEPARTMENT OF INSURANCE

Affiliations

Name	Mendoza, Matthew	DOIID	971404	NAIC NPN	18162812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/6/2017	8/31/2025
Active	Non Resident	Agent	Life	10/6/2017	8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/18/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/18/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/19/2019	2/26/2020
Active	American General Life Insurance Company	301585	Agent - Health	10/17/2023
Active	American General Life Insurance Company	301585	Agent - Life	10/17/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	1/24/2018	12/18/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/16/2018	12/18/2018
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/17/2017	1/23/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/17/2017	1/23/2019
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	3/26/2020	12/15/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/21/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	11/15/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	12/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/10/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/17/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/27/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/8/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/17/2017	6/8/2018
Inactive	LifeShield National Insurance Company	737111	Agent - Health	6/26/2019	4/19/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/9/2024
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	12/14/2017	8/19/2020
Active	SilverScript Insurance Company	663526	Agent - Health	6/18/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/19/2019	12/23/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/1/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/1/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/16/2019
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/16/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/17/2017	1/23/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/17/2017	1/23/2019
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/11/2019	4/19/2022