DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Mary Beth	DOIID	908453	NAIC NPN	17871530

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	3/7/2016	5/31/2020
Inactive	Resident	Agent	Property	3/7/2016	5/31/2020
* 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
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/31/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/31/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/13/2018	5/31/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/13/2018	5/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/10/2020	5/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/10/2020	5/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/1/2017	5/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	6/1/2017	5/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/7/2016	5/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/7/2016	5/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/7/2016	5/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/7/2016	5/31/2020
Inactive	West Bend Insurance Company	672974	Agent - Casualty	6/15/2016	5/18/2018
Inactive	West Bend Insurance Company	672974	Agent - Property	6/15/2016	5/18/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pike Insurance Agency LLC	740224	Agent - Casualty	4/11/2016	9/9/2019
Inactive	Pike Insurance Agency LLC	740224	Agent - Property	4/11/2016	9/9/2019
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	6/17/2019	1/21/2020
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	6/17/2019	1/21/2020