DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, George Lafarrell	DOIID	1217538	NAIC NPN	6087944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/19/2022		3/31/2027
* 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	01/15/2027	03/31/2027

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	8/18/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/1/2023	11/13/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/1/2023	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/1/2023	11/13/2025
Inactive	CHA HMO, Inc.	300662	Agent - Health	6/30/2025	1/16/2026
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/30/2023	3/25/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/11/2024	1/16/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/1/2023	11/13/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2024	1/16/2026
Inactive	Emphesys Insurance Company	300598	Agent - Health	10/31/2025	1/16/2026
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/30/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/14/2025	1/16/2026
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/7/2022	12/26/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	11/27/2023
Active	SilverScript Insurance Company	663526	Agent - Health	8/18/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/19/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/19/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Health Insurance Services LLC	887889	Agent - Health	2/14/2023