DEPARTMENT OF INSURANCE

Affiliations

Name	Grace, Matthew Todd	DOIID	328923	NAIC NPN	7175772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		7/31/2025
Active	Resident	Agent	Health	8/11/1995		7/31/2025
Active	Resident	Agent	Property	8/15/2000		7/31/2025
Active	Resident	Agent	Life	8/11/1995		7/31/2025
Inactive	Resident	Agent	General Lines	8/11/1995	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	American Heritage Life Insurance Company	300272	Agent - Health	5/5/2004	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/5/2004	6/23/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/4/2003	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/4/2003	3/7/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	8/8/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	8/8/2013
Inactive	C.M. Life Insurance Company	301335	Agent - Health	9/9/2004	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	9/9/2004	11/12/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012	5/6/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/6/2012	5/6/2013
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	3/21/2013
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/11/1995	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	3/21/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2004	8/8/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2004	8/8/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/4/2003	6/24/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/4/2003	6/24/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	3/21/2013
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	8/11/1995	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	3/21/2013
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/9/2004	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/9/2004	11/12/2012
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/11/1995	3/21/2013
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/11/1995	3/21/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	6/24/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/28/1995	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/28/1995	3/18/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/28/1995	3/18/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	3/18/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	3/18/2013
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007