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.

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 Modern Select Insurance Company	581481	Agent - Casualty	8/27/2012	10/29/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/27/2012	10/29/2021
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	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
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