DEPARTMENT OF INSURANCE

Affiliations

Name	Mathis, Kim Michelle	DOIID	593983	NAIC NPN	8202525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	2/15/2011	11/30/2026
Active	Resident	Agent	Property	9/8/2004	11/30/2026
Active	Resident	Agent	Health	2/15/2011	11/30/2026
Active	Resident	Agent	Casualty	9/8/2004	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Assurance Company	300897	Agent - Casualty	8/4/2005
Active	AIG Assurance Company	300897	Agent - Property	8/4/2005
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	4/25/2011	11/2/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/25/2011	11/2/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/27/2012	10/29/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/27/2012	10/29/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/29/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/27/2012	10/29/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/27/2012	10/29/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/6/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/6/2022
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/27/2012	10/29/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/27/2012	10/29/2021
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	9/25/2009	12/28/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	9/25/2009	12/28/2010
Active	Bristol West Insurance Company	301655	Agent - Casualty	3/20/2007
Active	Bristol West Insurance Company	301655	Agent - Property	3/20/2007
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	10/27/2005	11/27/2013
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	10/27/2005	11/27/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/13/2022
Active	Countryway Insurance Company	300809	Agent - Casualty	11/15/2010
Active	Countryway Insurance Company	300809	Agent - Property	11/15/2010
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/8/2007
Active	Dairyland Insurance Company	301370	Agent - Property	11/8/2007
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	9/25/2009	12/28/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	9/25/2009	12/28/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/9/2005	8/18/2020
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/9/2005	8/18/2020
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	6/6/2011	12/26/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	6/6/2011	12/26/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	5/24/2005	7/18/2011
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	5/24/2005	7/18/2011
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/24/2005	7/18/2011
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/24/2005	7/18/2011
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/20/2005	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/20/2005	8/21/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/24/2005	7/18/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/24/2005	7/18/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/6/2006
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/6/2006
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	8/24/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	8/24/2025
Active	Granite State Insurance Company	300818	Agent - Casualty	8/4/2005
Active	Granite State Insurance Company	300818	Agent - Property	8/4/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/23/2012	7/2/2013
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/23/2012	7/2/2013
Active	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007
Active	Illinois National Insurance Company	301367	Agent - Property	1/16/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Active	Integon Indemnity Corporation	300674	Agent - Casualty	5/4/2023
Active	Integon Indemnity Corporation	300674	Agent - Property	5/4/2023
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/25/2011	9/20/2024
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	4/28/2011
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	4/28/2011
Active	Kentucky National Insurance Company	301625	Agent - Casualty	1/21/2009
Active	Kentucky National Insurance Company	301625	Agent - Property	1/21/2009
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	9/25/2009	12/28/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	9/25/2009	12/28/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/24/2005	7/18/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/24/2005	7/18/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/29/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	5/8/2025
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/3/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	2/3/2005
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	2/3/2005
Active	Progressive Northern Insurance Company	301378	Agent - Property	2/3/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/28/2011	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/28/2011	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/28/2011	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/28/2011	3/29/2024
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	8/2/2005	11/1/2010
Inactive	Stillwater Insurance Company	567181	Agent - Property	8/2/2005	11/1/2010
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/21/2012
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	8/27/2012	10/29/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	8/27/2012	10/29/2021
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	6/27/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	6/27/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mathis Insurance Agency Inc.	398300	Agent - Casualty	2/3/2005
Active	Mathis Insurance Agency Inc.	398300	Agent - Property	2/3/2005
Active	Mathis Insurance Agency Inc.	398300	Agent - Life	2/9/2022
Active	Mathis Insurance Agency Inc.	398300	Agent - Health	2/9/2022
Inactive	Medlink Inc	400721	Agent - Life	12/16/2011	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	12/16/2011	3/31/2024