DEPARTMENT OF INSURANCE

Affiliations

Name	Mathews-Kelly, Lasasha	DOIID	882782	NAIC NPN	17005400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/27/2025		4/30/2027
Active	Non Resident	Agent	Property	2/27/2025		4/30/2027
Inactive	Non Resident	Agent	Health	11/17/2021	4/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/24/2021	4/30/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/24/2021	4/30/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/24/2021	4/30/2023
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/28/2025	10/8/2026
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/28/2025	10/8/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/10/2025	10/13/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/10/2025	10/13/2026
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/10/2025	10/15/2026
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/10/2025	10/15/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/10/2025	10/15/2026
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/10/2025	10/15/2026
Inactive	Homesite Insurance Company	301139	Agent - Casualty	2/28/2025	10/8/2026
Inactive	Homesite Insurance Company	301139	Agent - Property	2/28/2025	10/8/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	2/28/2025	10/8/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	2/28/2025	10/8/2026
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	2/28/2025	10/8/2026
Inactive	Midvale Indemnity Company	300292	Agent - Property	2/28/2025	10/8/2026
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	1/30/2017	3/30/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/24/2021	4/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/17/2021	1/13/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/17/2021	1/13/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/17/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/17/2021	1/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	4/23/2025	10/15/2026
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	4/23/2025	10/15/2026
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	2/6/2017	3/30/2017