DEPARTMENT OF INSURANCE
Affiliations
NameMata, Irma DOIID357458NAIC NPN2758025
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty4/24/20033/31/2004 
InactiveNon ResidentAgentLife5/29/20121/31/2022 
InactiveNon ResidentAgentProperty4/24/20033/31/2004 
InactiveNon ResidentAgentHealth5/29/20121/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Health and Life Insurance Company300844Agent - Health11/7/20033/24/2004
InactiveAmerican Health and Life Insurance Company300844Agent - Life11/7/20033/24/2004
InactiveCentral States Health and Life Company of Omaha301874Agent - Health3/28/20032/20/2004
InactiveCentral States Health and Life Company of Omaha301874Agent - Life3/28/20032/20/2004
InactiveCentral States Indemnity Company of Omaha300285Agent - Casualty4/24/20032/20/2004
InactiveCentral States Indemnity Company of Omaha300285Agent - Property4/24/20032/20/2004
InactiveCompBenefits Dental, Inc.591692Agent - Health5/4/201312/26/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health8/12/20136/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life8/12/20136/11/2014
InactiveDental Concern Inc. (The)301641Agent - Health5/4/201312/26/2013
InactiveEverlake Life Insurance Company300873Agent - Health9/24/19991/29/2004
InactiveEverlake Life Insurance Company300873Agent - Life9/24/19991/29/2004
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/23/201212/26/2013
InactiveHumana Health Plan, Inc.300142Agent - Health10/23/201212/26/2013
InactiveHumana Insurance Company301104Agent - Health10/23/201212/26/2013
InactiveHumana Insurance Company301104Agent - Life10/23/201212/26/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/23/201212/26/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/23/201212/26/2013
InactiveKanawha Insurance Company300127Agent - Health5/4/201312/26/2013
InactiveKanawha Insurance Company300127Agent - Life5/4/201312/26/2013
InactiveSears Life Insurance Company300218Agent - Health10/18/20001/29/2004
InactiveSears Life Insurance Company300218Agent - Life10/18/20001/29/2004
InactiveTriton Insurance Company300654Agent - Casualty11/7/20033/24/2004
InactiveTriton Insurance Company300654Agent - Property11/7/20033/24/2004
InactiveUSAA Life Insurance Company300734Agent - Health6/1/20122/8/2021
InactiveUSAA Life Insurance Company300734Agent - Life6/1/20122/8/2021
InactiveUnion Fidelity Life Insurance Company301136Agent - Health11/9/20016/16/2003
InactiveUnion Fidelity Life Insurance Company301136Agent - Life11/9/20016/16/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Life8/20/201211/6/2019
InactiveUSAA Financial Planning Services Ins Agency Inc579485Agent - Health8/20/201211/6/2019
InactiveUSAA Life General Agency Inc399318Agent - Life10/5/20122/8/2021
InactiveUSAA Life General Agency Inc399318Agent - Health10/5/20122/8/2021

© Commonwealth of Kentucky. All rights reserved.