DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Terry D	DOIID	326238	NAIC NPN	7172296

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	11/30/2021
Inactive	Resident	Agent	Health	3/28/1980	11/30/2021
Inactive	Resident	Agent	Property	8/15/2000	11/30/2021
Inactive	Resident	Agent	Life	3/28/1980	11/30/2021
Inactive	Resident	Agent	General Lines	8/31/1981	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	AIG Assurance Company	300897	Agent - Casualty	3/2/2004	11/30/2021
Inactive	AIG Assurance Company	300897	Agent - Property	3/2/2004	11/30/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/11/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/11/2002	11/21/2007
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	6/23/2015	12/11/2020
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/23/2015	12/11/2020
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/23/2015	12/11/2020
Inactive	Allstate Insurance Company	300773	Agent - Property	6/23/2015	12/11/2020
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/23/2015	12/11/2020
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/23/2015	12/11/2020
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	6/23/2015	12/11/2020
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	6/23/2015	12/11/2020
Inactive	American Equity Specialty Insurance Company	517546	Agent - Casualty	2/5/2001	3/23/2001
Inactive	American Equity Specialty Insurance Company	517546	Agent - Property	2/5/2001	3/23/2001
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	10/29/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	3/13/1997	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	10/29/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	12/16/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	12/16/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	6/10/2005	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	6/10/2005	10/25/2012
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	10/4/2002	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	10/4/2002	5/31/2003
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	10/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	3/26/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	10/29/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	10/29/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	10/29/2021
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	10/4/2002	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Property	10/4/2002	5/31/2003
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/23/2007	6/10/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/23/2007	6/10/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/30/2002	9/13/2004
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/3/2003	1/29/2013
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	9/25/2009	12/29/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	9/25/2009	12/29/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/20/2007	11/30/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/20/2007	11/30/2021
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	1/27/2004	9/10/2012
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	1/27/2004	9/10/2012
Inactive	Centre Life Insurance Company	300341	Agent - Health	5/9/1997	3/31/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/21/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/21/1997	4/1/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	3/5/1997	9/3/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	3/5/1997	5/19/2003
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	4/12/2002	4/26/2004
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Continental General Insurance Company	300691	Agent - Health	3/7/1997	12/28/1998
Inactive	Continental General Insurance Company	300691	Agent - Life	3/7/1997	12/28/1998
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	2/10/1997	12/1/2006
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	8/15/2000	6/30/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	2/10/1997	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	8/15/2000	6/30/2003
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/8/2007	3/25/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	9/25/2009	12/29/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	9/25/2009	12/29/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/9/2005	8/18/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/9/2005	8/18/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/19/2011	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/19/2011	12/13/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/20/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/20/2005	8/22/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/18/2003	7/12/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/18/2003	7/12/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/8/2002	10/17/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/28/2003	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/28/2003	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/23/2003	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/23/2003	12/26/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	11/30/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	4/9/1997	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	11/30/2021
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	4/9/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	5/5/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	5/5/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/21/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/21/2005	12/13/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	11/30/2021
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	11/30/2021
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	9/13/1983	2/6/1997
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/13/2002	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/13/2002	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	5/13/2002	11/6/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/20/2004	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	3/3/2008	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	3/3/2008	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/20/2004	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/20/2004	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/24/2008	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/24/2008	11/27/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	11/30/2021
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	11/30/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	12/16/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	12/16/2015
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	8/29/2002	7/7/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	9/4/2003	11/30/2021
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/24/2008	11/27/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/24/2008	11/27/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/20/2010	11/30/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/20/2010	11/30/2021
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	1/21/2009	11/30/2021
Inactive	Kentucky National Insurance Company	301625	Agent - Property	1/21/2009	11/30/2021
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	9/25/2009	12/29/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	9/25/2009	12/29/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/23/2003	1/15/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/23/2003	1/15/2009
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	10/4/2002	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	10/4/2002	5/31/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/18/2003	7/12/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/18/2003	7/12/2011
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/26/2004	3/1/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/14/1998	11/8/2004
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/18/2006	10/18/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	12/16/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	12/16/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	12/16/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	12/16/2015
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	3/13/1997	9/23/1999
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	3/13/1997	9/23/1999
Inactive	Omni Indemnity Company	301456	Agent - Casualty	4/29/2002	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	4/29/2002	10/8/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	1/4/2000	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	6/26/2001
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/17/1999	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/17/1999	11/23/2009
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	8/31/1981	2/6/1997
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/13/2005	11/6/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/13/2005	11/6/2009
Inactive	Shield Insurance Company	300992	Agent - Casualty	8/15/2000	6/27/2003
Inactive	Shield Insurance Company	300992	Agent - General Lines	11/24/1998	8/15/2000
Inactive	Shield Insurance Company	300992	Agent - Property	8/15/2000	6/27/2003
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	8/2/2005	11/1/2010
Inactive	Stillwater Insurance Company	567181	Agent - Property	8/2/2005	11/1/2010
Inactive	Time Insurance Company	300683	Agent - Health	3/8/2001	12/22/2006
Inactive	Time Insurance Company	300683	Agent - Life	3/8/2001	12/22/2006
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/28/1980	2/6/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/28/1980	2/6/1997
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/22/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/29/2002	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/29/2002	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/13/2002	11/6/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/15/2001	7/8/2005
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/15/2001	7/8/2005
Inactive	United Investors Life Insurance Company	301873	Agent - Life	8/16/2002	12/21/2006
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	6/27/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	6/27/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	12/16/2015
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	12/16/2015
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/6/2002	12/27/2005
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/8/2001
Inactive	Western Surety Company	300283	Agent - General Lines	3/10/1997	8/15/2000
Inactive		301729	Agent - Casualty	10/4/2002	5/31/2003
Inactive		301729	Agent - Property	10/4/2002	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Life	11/30/2015	11/30/2021
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Health	11/30/2015	11/30/2021
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Property	11/30/2015	11/30/2021
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Casualty	11/30/2015	11/30/2021
Inactive	Mathis Insurance Agency Inc.	398300	Agent - Life	12/16/1997	11/30/2021
Inactive	Mathis Insurance Agency Inc.	398300	Agent - Health	12/16/1997	11/30/2021
Inactive	Mathis Insurance Agency Inc.	398300	Agent - General Lines	12/16/1997	8/15/2000
Inactive	Mathis Insurance Agency Inc.	398300	Agent - Property	8/15/2000	11/30/2021
Inactive	Mathis Insurance Agency Inc.	398300	Agent - Casualty	8/15/2000	11/30/2021
Denied	Medlink Inc	400721	Agent - Life
Inactive	Medlink Inc	400721	Agent - Health	5/16/2002	11/30/2021