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	Health	10/16/2009		8/31/2026
Active	Resident	Agent	Limited Line Credit	8/7/2000		8/31/2026
Active	Resident	Agent	Life	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.

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
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/24/2017	12/23/2024
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