DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mason, Theresa M	DOIID	1136984	NAIC NPN	8751550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/28/2021		9/30/2026
Active	Non Resident	Agent	Life	5/28/2021		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/29/2026
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/29/2026
Active	CMFG Life Insurance Company	300929	Agent - Health	6/3/2021
Active	CMFG Life Insurance Company	300929	Agent - Life	6/3/2021
Active	Tier One Insurance Company	301056	Agent - Health	1/22/2026
Active	Tier One Insurance Company	301056	Agent - Life	1/22/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	1/20/2026
Active	Sutherland Global Services Inc	601788	Agent - Health	1/20/2026