DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Darrell Dewayne	DOIID	539612	NAIC NPN	7219913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	10/19/2001	4/17/2002
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/19/2004	3/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Casualty Company	301019	Independent Adjuster - Property & Casualty	5/24/2002	9/20/2003
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	11/20/2012	3/31/2015

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Petersen, Tracy Lynn	384075	Apprentice Adjuster - Not Applicable	10/19/2001	4/17/2002