DEPARTMENT OF INSURANCE

Affiliations

Name	Botts, Matthew Trevor	DOIID	936626	NAIC NPN	17881183

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/19/2022	7/31/2024
Inactive	Non Resident	Agent	Property	11/14/2016	7/31/2020
Inactive	Non Resident	Agent	Health	5/19/2022	7/31/2024
Inactive	Non Resident	Agent	Casualty	11/14/2016	7/31/2020
* 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 Fire and Casualty Company	300567	Agent - Casualty	2/6/2018	7/3/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/6/2018	7/3/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/12/2017	1/7/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/12/2017	1/7/2019
Inactive	CareSource Kentucky Co.	838179	Agent - Health	6/28/2022	5/30/2024
Inactive	Erie Insurance Company	300230	Agent - Casualty	12/20/2016	9/14/2017
Inactive	Erie Insurance Company	300230	Agent - Property	12/20/2016	9/14/2017
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	12/20/2016	9/14/2017
Inactive	Erie Insurance Company of New York	789916	Agent - Property	12/20/2016	9/14/2017
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	12/20/2016	9/14/2017
Inactive	Erie Insurance Exchange	300789	Agent - Property	12/20/2016	9/14/2017
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	12/20/2016	9/14/2017
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	12/20/2016	9/14/2017
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	12/20/2016	9/14/2017
Inactive	Flagship City Insurance Company	789965	Agent - Property	12/20/2016	9/14/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/18/2018	1/9/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/18/2018	1/9/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/23/2022	7/12/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/23/2022	7/12/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/7/2022	8/4/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/7/2022	8/4/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/22/2022	7/31/2024
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2017	7/31/2020
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2017	7/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/10/2017	7/3/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/10/2017	7/3/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/11/2017	7/3/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/11/2017	7/3/2018
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/12/2017	1/7/2019
Inactive	Owners Insurance Company	300796	Agent - Property	9/12/2017	1/7/2019
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	6/6/2022	8/7/2024
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	6/6/2022	8/7/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/7/2018	1/15/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/7/2018	1/15/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/7/2018	1/15/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/7/2018	1/15/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	12/14/2017	7/3/2018
Inactive	West American Insurance Company	301112	Agent - Property	12/14/2017	7/3/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Energy Ins Agency Inc	398833	Agent - Property	9/8/2017	7/10/2018
Inactive	Energy Ins Agency Inc	398833	Agent - Casualty	9/8/2017	7/10/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/23/2022	7/12/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/23/2022	7/12/2022