DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mattice, Kevin	DOIID	887939	NAIC NPN	16786879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/20/2015		8/31/2025
Active	Non Resident	Agent	Health	8/20/2015		8/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/24/2015
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	8/24/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/16/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/16/2023
Active	Symetra Life Insurance Company	301691	Agent - Health	10/14/2021
Active	Symetra Life Insurance Company	301691	Agent - Life	10/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Benefit Services Inc	525782	Agent - Life	8/16/2023
Active	Gallagher Benefit Services Inc	525782	Agent - Health	8/16/2023