DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Angela Denise	DOIID	691641	NAIC NPN	12001850

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/10/2016	10/31/2023
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/10/2016	5/27/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/16/2019	10/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Motors Inc.	399859	Agent - Limited Line Credit	11/3/2008	1/18/2011
Inactive	Community Financial Services Bank	400571	Agent - Limited Line Credit	7/19/2022	8/4/2023