DEPARTMENT OF INSURANCE

Affiliations

Name	Mattingly, Mary Donna	DOIID	310441	NAIC NPN	7160367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/9/1993	8/31/2004
Inactive	Resident	Agent	Health Maintenance Organization	3/2/1993	3/1/2001
Inactive	Resident	Agent	Life	2/9/1993	8/31/2004
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/2/1993	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/22/1995	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/22/1995	6/7/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	12/31/1998
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	4/8/1993	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	4/8/1993	9/8/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/11/1993	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/11/1993	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	4/16/1993	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	4/16/1993	3/31/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	12/11/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	12/11/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/9/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/9/1993	3/31/1997
Inactive	Medical Life Insurance Company	300693	Agent - Health	4/8/1993	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	4/8/1993	12/31/2004
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/25/1993	5/21/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/25/1993	5/21/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/12/1993	8/31/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/12/1993	8/31/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/4/1994	12/11/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/4/1994	12/11/2002
Inactive	Washington National Insurance Company	300587	Agent - Health	8/25/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	8/25/1993	3/31/1997
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	10/4/1994	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	10/4/1994	11/17/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	7/25/1995	2/10/2004
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	7/25/1995	2/10/2004
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003