DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Christopher Chase	DOIID	722618	NAIC NPN	15658617

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/6/2010	3/14/2012
Inactive	Resident	Agent	Health	10/29/2015	9/1/2017
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/29/2015	3/16/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/19/2011	3/12/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/19/2011	3/12/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/24/2011	12/15/2011
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/24/2011	12/15/2011
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	3/18/2011	1/5/2012
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	7/19/2010	1/5/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	3/28/2011	3/12/2012
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	3/28/2011	3/12/2012