DEPARTMENT OF INSURANCE
Affiliations
NameMathis Jr, Robert RDOIID826362NAIC NPN17100763
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/1/20132/8/2018 
InactiveNon ResidentAgentHealth11/1/20132/8/2018 
* 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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/13/20132/8/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/15/20162/8/2018
InactiveCIGNA Health & Life Insurance Company301783Agent - Life12/15/20162/8/2018
InactiveCompBenefits Dental, Inc.591692Agent - Health1/31/20145/28/2015
InactiveDental Concern Inc. (The)301641Agent - Health9/13/20161/10/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/31/20145/28/2015
InactiveHumana Health Plan, Inc.300142Agent - Health11/30/20161/10/2017
InactiveHumana Insurance Company301104Agent - Health9/13/20161/10/2017
InactiveHumana Insurance Company301104Agent - Life9/13/20161/10/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/13/20161/10/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/13/20161/10/2017
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20161/10/2017
InactiveKanawha Insurance Company300127Agent - Health1/31/20145/28/2015
InactiveKanawha Insurance Company300127Agent - Life1/31/20145/28/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/13/20145/28/2015
InactiveDesignated Agent Company Inc.681257Agent - Health11/13/20142/8/2018

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