DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Sherry J	DOIID	351096	NAIC NPN	7191916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/16/2009		8/31/2026
Active	Resident	Agent	Limited Line Credit	8/7/2000		8/31/2026
Active	Resident	Agent	Health	10/16/2009		8/31/2026
Inactive	Resident	Agent	Credit Life & Health	2/13/1995	3/31/1999
Inactive	Resident	Agent	Debtors Life	11/24/1998	8/7/2000
* 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	06/15/2024	08/31/2024	06/17/2024	06/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Assurance Company	300586	Agent - Limited Line Credit	7/26/2004	12/31/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	1/19/2017	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	1/19/2017	12/23/2019
Active	Banner Life Insurance Company	301696	Agent - Life	2/27/2014
Inactive	CICA Life Insurance Company of America	600487	Agent - Limited Line Credit	1/1/2005	2/20/2007
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	2/23/2004	1/1/2005
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	3/8/2012	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	3/8/2012	12/14/2016
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/8/2018
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/8/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2006	8/17/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Debtors Life	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	6/6/2023
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/13/1995	3/31/1999
Active	Principal National Life Insurance Company	301926	Agent - Life	3/13/2013
Inactive	Protective Life Insurance Company	300638	Agent - Health	2/15/2017	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	2/15/2017	11/23/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	1/24/2017
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	4/2/2013	12/19/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/17/2017	3/16/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/17/2017	3/16/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/19/2011	1/26/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/19/2011	1/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Bank	400883	Agent - Limited Line Credit	1/26/2007	3/31/2022
Inactive	Kentucky Bank	400883	Agent - Life	11/19/2020	3/31/2022