PUBLIC PROTECTION
CABINET
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.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
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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