DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Christopher Alan	DOIID	333980	NAIC NPN	7182681

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		9/30/2024
Active	Resident	Agent	Casualty	8/15/2000		9/30/2024
Active	Resident	Agent	Life	4/4/1984		9/30/2024
Active	Resident	Agent	Health	4/4/1984		9/30/2024
Inactive	Resident	Agent	General Lines	4/4/1984	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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agri General Insurance Company	300914	Agent - General Lines	4/11/1994	12/3/1998
Active	American Agricultural Insurance Company	300215	Agent - Property	9/23/2016
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/2/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/2/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/17/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/17/2015	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/30/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/4/1984	3/31/1998
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	12/31/1998	8/15/2000
Active	Dairyland Insurance Company	301370	Agent - Property	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/4/1984	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/2/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	12/2/2005	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
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/4/1984	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/4/1984
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/4/1984
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	10/5/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	10/5/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000