DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Corrie Nicole	DOIID	742152	NAIC NPN	8769781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/21/2022	2/29/2024
Inactive	Non Resident	Agent	Health	10/27/2015	5/31/2016
Inactive	Non Resident	Agent	Property	10/21/2022	2/29/2024
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	11/2/2015	5/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/2/2015	5/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/31/2015	5/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/31/2015	5/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2015	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/31/2015	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/31/2015	5/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/31/2015	5/31/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/26/2022	1/10/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/26/2022	1/10/2023
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/26/2022	1/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Corporate Call Center, Inc	695480	Agent - Health