DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Maurice	DOIID	991299	NAIC NPN	18519088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	4/30/2021	7/31/2023
Inactive	Non Resident	Agent	Health	4/16/2018	7/31/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/23/2018	7/31/2019
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/23/2018	7/31/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/28/2018	9/27/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/23/2018	7/31/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Personal Lines	5/4/2021	2/14/2022
Inactive	USAA Casualty Insurance Company	300995	Agent - Personal Lines	5/4/2021	2/14/2022
Inactive	USAA General Indemnity Company	300131	Agent - Personal Lines	5/4/2021	2/14/2022
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	5/4/2021	2/14/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/16/2018	9/25/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	4/16/2018	9/25/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	9/25/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/16/2018	9/25/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/30/2018	7/31/2019