DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Matthis, Ann	DOIID	547207	NAIC NPN	2131632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/28/2002	12/31/2009
Inactive	Non Resident	Agent	Casualty	3/28/2002	12/31/2009
* 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	21st Century Premier Insurance Company	301925	Agent - Casualty	3/28/2002	3/30/2004
Inactive	21st Century Premier Insurance Company	301925	Agent - Property	3/28/2002	3/30/2004
Inactive	Vantage Risk Assurance Company	301730	Agent - Casualty	6/9/2004	2/4/2009
Inactive	Vantage Risk Assurance Company	301730	Agent - Property	6/9/2004	2/4/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GE Capital Agency, Inc.	524491	Agent - Casualty	1/24/2005	2/4/2009
Inactive	GE Capital Agency, Inc.	524491	Agent - Property	1/24/2005	2/4/2009