DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Teresa Gwen	DOIID	315506	NAIC NPN	7162739

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	10/1/2023
Inactive	Resident	Agent	Casualty	8/15/2000	10/1/2023
Inactive	Resident	Agent	General Lines	4/5/1993	8/15/2000
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/26/2008	8/30/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/26/2008	8/30/2021
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	8/15/2000	5/3/2018
Inactive	BITCO General Insurance Corporation	301305	Agent - General Lines	1/20/2000	8/15/2000
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	8/15/2000	5/3/2018
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	8/15/2000	5/3/2018
Inactive	BITCO National Insurance Company	301366	Agent - General Lines	1/20/2000	8/15/2000
Inactive	BITCO National Insurance Company	301366	Agent - Property	8/15/2000	5/3/2018
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	10/1/2023
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/5/1993	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	10/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Property	10/4/2017	8/27/2021
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Casualty	10/4/2017	8/27/2021