DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Mary	DOIID	689526	NAIC NPN	11603831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	12/7/2017	4/8/2020
Inactive	Non Resident	Agent	Health	4/14/2021	2/28/2023
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/10/2021	2/28/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/10/2021	2/28/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/10/2021	2/28/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2021	3/10/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	3/10/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	3/10/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	8/11/2022
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/11/2011	11/7/2017
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/29/2008	7/2/2013
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/11/2022	3/10/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/7/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	11/7/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	11/7/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2008	11/7/2017
Inactive	Humana Insurance Company	301104	Agent - Health	9/29/2008	11/7/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/1/2008	11/7/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	11/7/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	11/7/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/28/2011	10/22/2015
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	12/19/2017	12/9/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	6/10/2021	2/28/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/16/2021	8/11/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/16/2021	8/11/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/16/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/16/2021	8/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/2/2009	11/7/2017