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DEPARTMENT OF INSURANCE
Affiliations
Name
Menard Gates And Mathis Inc
DOIID
642256
NAIC NPN
2330068
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Limited Line Surety
Denied
Non Resident
Agent
Personal Lines
Inactive
Non Resident
Agent
Health
10/5/2009
1/14/2014
Inactive
Non Resident
Agent
Casualty
10/5/2009
1/14/2014
Inactive
Non Resident
Agent
Life
10/5/2009
1/14/2014
Inactive
Non Resident
Agent
Property
10/5/2009
1/14/2014
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
4/23/2010
3/31/2012
* 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
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
11/10/2011
12/5/2013
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
11/10/2011
12/5/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
2/8/2010
12/30/2013
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
2/8/2010
12/30/2013
Inactive
Federal Insurance Company
301144
Agent - Casualty
8/3/2012
8/19/2013
Inactive
Federal Insurance Company
301144
Agent - Property
8/3/2012
8/19/2013
Inactive
Great Northern Insurance Company
301107
Agent - Casualty
8/3/2012
8/19/2013
Inactive
Great Northern Insurance Company
301107
Agent - Property
8/3/2012
8/19/2013
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
2/7/2010
1/14/2014
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
2/7/2010
1/14/2014
Inactive
Merchants Bonding Company (Mutual)
300170
Agent - Casualty
11/12/2010
1/14/2014
Inactive
Merchants National Bonding Inc.
787525
Agent - Casualty
10/8/2012
1/14/2014
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
10/13/2011
1/14/2014
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
10/13/2011
1/14/2014
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
10/13/2011
1/14/2014
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
10/13/2011
1/14/2014
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
2/7/2010
1/14/2014
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
2/7/2010
1/14/2014
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
11/10/2011
12/5/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
11/10/2011
12/5/2013
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
11/10/2011
1/14/2014
Inactive
The Phoenix Insurance Company
301502
Agent - Property
11/10/2011
1/14/2014
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
11/15/2011
1/14/2014
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
11/15/2011
1/14/2014
Inactive
Travelers Commercial Insurance Company
301506
Agent - Casualty
11/10/2011
12/5/2013
Inactive
Travelers Commercial Insurance Company
301506
Agent - Property
11/10/2011
12/5/2013
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
11/10/2011
12/5/2013
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
11/10/2011
12/5/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
11/10/2011
1/14/2014
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
11/10/2011
1/14/2014
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
11/10/2011
12/5/2013
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
11/10/2011
12/5/2013
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Irvan, Patrick L
342832
Surplus Lines Broker - Not Applicable
4/23/2010
3/31/2012
Inactive
Mathis, S Eugene
394246
Agent - Casualty
10/5/2009
1/14/2014
Inactive
Mathis, S Eugene
394246
Agent - Health
10/5/2009
1/14/2014
Inactive
Mathis, S Eugene
394246
Agent - Life
10/5/2009
1/14/2014
Inactive
Mathis, S Eugene
394246
Agent - Property
10/5/2009
1/14/2014
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