DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Matthew L	DOIID	1055758	NAIC NPN	19042158

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/11/2019		8/31/2025
Active	Non Resident	Agent	Property	9/11/2019		8/31/2025
* 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	Bristol West Insurance Company	301655	Agent - Casualty	1/31/2020
Active	Bristol West Insurance Company	301655	Agent - Property	1/31/2020
Active	Dairyland Insurance Company	301370	Agent - Casualty	12/16/2019
Active	Dairyland Insurance Company	301370	Agent - Property	12/16/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/31/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Casualty	9/16/2019
Active	Breathe Easy Insurance Solutions, LLC	1056193	Agent - Property	9/16/2019