DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, William David	DOIID	384964	NAIC NPN	7206726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/4/2000		7/31/2025
Active	Resident	Agent	Property	8/15/2000		7/31/2025
Active	Resident	Agent	Health	12/29/1972		7/31/2025
Active	Resident	Agent	Life	12/29/1972		7/31/2025
Inactive	Resident	Agent	General Lines	1/17/1973	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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	8/3/1988	8/15/2000
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Casualty	7/11/2003	9/24/2010
Inactive	AIG Assurance Company	300897	Agent - Property	7/11/2003	9/24/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	6/28/2006	10/20/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/28/2006	10/20/2008
Active	American Agri-Business Insurance Company	634731	Agent - Casualty	12/28/2020
Active	American Agri-Business Insurance Company	634731	Agent - Property	12/28/2020
Inactive	American Growers Insurance Company	300841	Agent - Casualty	9/24/2001	4/14/2003
Inactive	American Growers Insurance Company	300841	Agent - Property	9/24/2001	4/14/2003
Inactive	Austin Mutual Insurance Company	639555	Agent - Property	1/23/2012	7/23/2012
Inactive	BancInsure, Inc.	301707	Agent - Casualty	3/13/2001	7/18/2013
Inactive	BancInsure, Inc.	301707	Agent - Property	3/13/2001	7/18/2013
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/14/2013	8/28/2015
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/19/2006
Active	Bristol West Insurance Company	301655	Agent - Property	12/19/2006
Inactive	CGB Insurance Company	559048	Agent - Casualty	2/18/2014	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Property	2/18/2014	12/28/2020
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	4/10/1987	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	4/10/1987	3/31/1997
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/1/2004	8/24/2022
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	7/6/1987	4/13/1998
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/18/2002
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/18/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Life	4/14/1994	6/6/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/20/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/20/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/11/2012	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/11/2012	1/7/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/19/1986	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/19/1986	12/13/2012
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/11/2003	9/24/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/11/2003	9/24/2010
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	10/16/2001	7/10/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	10/16/2001	7/10/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/16/2001	7/10/2019
Inactive	Great American Insurance Company	301586	Agent - Property	10/16/2001	7/10/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/16/2001	7/10/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/16/2001	7/10/2019
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	3/16/2012	11/25/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	3/16/2012	11/25/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	11/8/1989	12/16/1996
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/11/2003	9/24/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/11/2003	9/24/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/2/1993	7/28/2000
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/24/1994	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	8/15/2000	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	8/15/2000	10/15/2004
Active	Integon Indemnity Corporation	300674	Agent - Casualty	1/24/2025
Active	Integon Indemnity Corporation	300674	Agent - Property	1/24/2025
Inactive	Ironshore Indemnity Inc.	300088	Agent - General Lines	1/15/1997	11/16/1999
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/1/2006	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	9/1/2006	12/13/2011
Inactive	Medico Insurance Company	301559	Agent - Health	6/22/1988	3/31/1997
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/15/2000	12/25/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - General Lines	8/26/1998	8/15/2000
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/15/2000	12/25/2020
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/1/2003	8/13/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	6/1/2003	8/13/2018
Active	NAU Country Insurance Company	533460	Agent - Casualty	7/20/2021
Active	NAU Country Insurance Company	533460	Agent - Property	7/20/2021
Inactive	National Insurance Association	301386	Agent - General Lines	7/28/1988	3/31/1998
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/15/1994	3/31/1997
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/15/1994	3/31/1997
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	10/6/2011
Inactive	Omni Indemnity Company	301456	Agent - General Lines	5/22/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	10/6/2011
Inactive	Omni Insurance Company	301545	Agent - General Lines	3/21/1989	3/31/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	8/22/1995	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	2/4/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	2/4/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/29/1972	11/30/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/29/1972	11/30/2003
Active	Producers Agriculture Insurance Company	595288	Agent - Property	4/20/2010
Inactive	Star Casualty Insurance Company	681448	Agent - Casualty	7/22/2009	12/30/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/29/2011	3/15/2021
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	9/29/2020
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	9/29/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	7/1/2015	11/15/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	7/1/2015	11/15/2017
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/8/2001
Inactive	Western Surety Company	300283	Agent - General Lines	4/24/1981	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nethery Insurance Agency Inc.	400737	Agent - Casualty	2/14/2007
Active	Nethery Insurance Agency Inc.	400737	Agent - Property	2/14/2007
Inactive	Shelby Insurance Agency Inc.	398411	Agent - General Lines	1/17/1973	8/15/2000
Active	Shelby Insurance Agency Inc.	398411	Agent - Casualty	8/4/2000
Active	Shelby Insurance Agency Inc.	398411	Agent - Property	8/15/2000
Inactive	Thompson Associates Inc.	398584	Agent - Health	2/27/1992	11/23/1998
Inactive	Thompson Associates Inc.	398584	Agent - Life	2/27/1992	11/23/1998