DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Matrix Absence Management Inc	DOIID	616131	NAIC NPN	3486051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/27/2015		3/31/2027
Inactive	Non Resident	Independent Adjuster	Property & Casualty	12/13/2017	3/16/2023
* 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
Administrator	01/15/2025	03/31/2025	03/10/2025	03/10/2025	Yes

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ambrose, Scott C	1173755	Administrator - Not Applicable	12/2/2021	1/10/2022
Inactive	Anderson, Michelle Devonne	938213	Independent Adjuster - Workers' Compensation	6/7/2021	3/16/2023
Inactive	Barnes, Carole Lynn	720308	Independent Adjuster - Property & Casualty	12/13/2017	8/31/2021
Inactive	Betts, Steven Alan	995524	Independent Adjuster - Property & Casualty	6/7/2018	12/31/2022
Active	Foster, Donn	1179123	Administrator - Not Applicable	1/13/2022
Inactive	Littrell, Lee Ann	878749	Administrator - Not Applicable	5/27/2015	12/3/2021
Inactive	Selin, Kay Lea	350006	Independent Adjuster - Property & Casualty	9/21/2005	8/1/2017