DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Matheny, Mary E	DOIID	308294	NAIC NPN	7159294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	9/30/2005
Inactive	Resident	Agent	Credit Personal Property & Unemployment	5/6/1996	3/31/1998
Inactive	Resident	Agent	Credit Life & Health	12/28/1995	8/7/2000
Inactive	Resident	Agent	Debtors Life	8/13/1998	8/7/2000
* 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
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Debtors Life	8/13/1998	8/7/2000
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	3/10/2005
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	9/30/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	7/22/1996	12/1/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	12/28/1995	7/7/1997
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Credit Personal Property & Unemployment	5/6/1996	3/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Republic Bank & Trust Company	398358	Agent - Limited Line Credit	2/27/2004	9/30/2005