DEPARTMENT OF INSURANCE

Affiliations

Name	Mathurin, Guiscard	DOIID	1132099	NAIC NPN	8457885

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/29/2021	11/30/2026
Active	Non Resident	Agent	Life	4/29/2021	11/30/2026
Active	Non Resident	Agent	Casualty	3/17/2022	11/30/2026
Active	Non Resident	Agent	Property	3/17/2022	11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	5/6/2021
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/6/2021	4/23/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	5/6/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/2/2021	12/11/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/11/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/11/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/11/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/5/2022	1/25/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/5/2022	1/25/2023
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/23/2021	12/14/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/23/2021	12/14/2022
Inactive	Homesite Insurance Company	301139	Agent - Casualty	8/9/2022	1/24/2023
Inactive	Homesite Insurance Company	301139	Agent - Property	8/9/2022	1/24/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	8/9/2022	1/24/2023
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	8/9/2022	1/24/2023
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/3/2021	4/17/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/4/2022	1/23/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/4/2022	1/23/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/6/2021	4/23/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/3/2021	4/17/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/3/2021	4/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/7/2022	1/25/2023
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/7/2022	1/25/2023