DEPARTMENT OF INSURANCE
Affiliations
NameMathis, Michael ShaneDOIID796761NAIC NPN15840058
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/5/2012 10/31/2025
ActiveNon ResidentAgentHealth11/5/2012 10/31/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health10/10/20161/16/2019
InactiveAmerican General Life Insurance Company301585Agent - Life10/10/20161/16/2019
InactiveBanner Life Insurance Company301696Agent - Life3/9/201512/7/2015
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/16/201210/17/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/16/201210/17/2016
InactiveGlobe Life and Accident Insurance Company300639Agent - Health11/12/201212/3/2015
InactiveGlobe Life and Accident Insurance Company300639Agent - Life11/12/201212/3/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health2/3/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life2/3/2017 
InactivePruco Life Insurance Company300954Agent - Life3/2/201710/10/2018
InactiveReliaStar Life Insurance Company301712Agent - Health11/16/201212/21/2015
InactiveReliaStar Life Insurance Company301712Agent - Life11/16/201212/21/2015
InactiveTransamerica Life Insurance Company300571Agent - Health10/5/201611/15/2018
InactiveTransamerica Life Insurance Company300571Agent - Life10/5/201611/15/2018
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/25/202011/3/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/25/202011/3/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSelectQuote Insurance Services533194Agent - Life11/26/201212/7/2015
InactiveSelectQuote Insurance Services533194Agent - Health10/17/201610/17/2016

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