DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Mathew	DOIID	1209531	NAIC NPN	20348329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/7/2025		9/30/2026
Active	Non Resident	Agent	Life	1/7/2025		9/30/2026
Inactive	Non Resident	Agent	Casualty	6/8/2022	9/30/2024
Inactive	Non Resident	Agent	Property	6/8/2022	9/30/2024
* 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
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	6/17/2022	6/13/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	6/17/2022	6/13/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/10/2025	2/23/2026
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/10/2025	2/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022	6/13/2023
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022	6/13/2023
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/13/2025	7/8/2025
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	3/13/2025	7/8/2025