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	Health	8/20/2015		8/31/2027
Active	Non Resident	Agent	Life	8/20/2015		8/31/2027
* 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

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	Provident Life and Accident Insurance Company	301525	Agent - Health	8/12/2026
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/12/2026
Active	Starmount Life Insurance Company	628031	Agent - Health	8/12/2026
Active	Symetra Life Insurance Company	301691	Agent - Health	10/14/2021
Active	Symetra Life Insurance Company	301691	Agent - Life	10/14/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/12/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/12/2026
Active	Unum Insurance Company	301499	Agent - Health	8/12/2026
Active	Unum Insurance Company	301499	Agent - Life	8/12/2026

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