DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Selby, Matthew Tyler	DOIID	1059568	NAIC NPN	19311247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/22/2019	6/1/2022
Inactive	Resident	Agent	Property	10/15/2019	6/1/2022
Inactive	Resident	Agent	Casualty	10/15/2019	6/1/2022
* 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	AMEX Assurance Company	301728	Agent - Casualty	11/15/2019	6/29/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	11/15/2019	6/29/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	11/15/2019	6/29/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Inc.	1074645	Agent - Casualty	3/13/2020	6/29/2020
Inactive	Alorica Inc.	1074645	Agent - Health	3/13/2020	6/29/2020
Inactive	Alorica Inc.	1074645	Agent - Property	3/13/2020	6/29/2020