DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Washam, Matthew Allen	DOIID	587158	NAIC NPN	8034336

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	10/23/2019	11/30/2021
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	7/28/2009	11/30/2011
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Limited Line Credit	3/30/2004	10/4/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	10/29/2019	11/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First & Farmers Bank, Inc.	398166	Agent - Limited Line Credit	2/28/2005	11/30/2007
Inactive	First & Farmers National Bank Inc	701544	Agent - Limited Line Credit	11/20/2019	11/30/2021