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	Life	12/29/1972		7/31/2025
Active	Resident	Agent	Health	12/29/1972		7/31/2025
Active	Resident	Agent	Property	8/15/2000		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.

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
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