DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Henry Woodrow	DOIID	1021185	NAIC NPN	12108724

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/4/2018		4/30/2027
Active	Non Resident	Agent	Casualty	12/4/2018		4/30/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	12/12/2018		4/30/2027
* 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	02/15/2025	04/30/2025	02/04/2025	02/04/2025	Yes
Independent Adjuster	02/15/2025	04/30/2025	02/04/2025	02/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	1/10/2024
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	1/10/2024
Active	Continental Casualty Company	301019	Agent - Casualty	1/15/2019
Active	Continental Casualty Company	301019	Agent - Property	1/15/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	11/10/2020
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	11/10/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/10/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Asurion Insurance Services Inc	509331	Agent - Property	2/6/2019
Active	Asurion Insurance Services Inc	509331	Agent - Casualty	2/6/2019
Active	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	2/6/2019
Active	Asurion Protection Services, LLC.	545067	Agent - Property	3/7/2024
Active	Asurion Protection Services, LLC.	545067	Agent - Casualty	3/7/2024
Active	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	3/7/2024