DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Versluis, Matthew Robert	DOIID	1001858	NAIC NPN	16619541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/24/2018		2/28/2026
Active	Non Resident	Agent	Casualty	7/24/2018		2/28/2026
* 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	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	11/9/2022
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	11/9/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/22/2022	7/25/2023
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/22/2022	7/25/2023
Active	Midvale Indemnity Company	300292	Agent - Casualty	8/22/2018
Active	Midvale Indemnity Company	300292	Agent - Property	8/22/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/21/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Property	12/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Property	4/23/2020
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	4/23/2020
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	8/2/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	8/2/2023