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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

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