DEPARTMENT OF INSURANCE
Affiliations
NameRoman, Matthew AnthonyDOIID1067938NAIC NPN18348273
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/11/2019 9/30/2025
ActiveNon ResidentAgentProperty12/11/2019 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty9/11/2020 
ActiveBristol West Insurance Company301655Agent - Property9/11/2020 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty12/13/2019 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property12/13/2019 
ActiveCSAA General Insurance Company606675Agent - Casualty12/13/2019 
ActiveCSAA General Insurance Company606675Agent - Property12/13/2019 
InactiveEncompass Indemnity Company546376Agent - Casualty5/7/202010/3/2024
InactiveEncompass Indemnity Company546376Agent - Property5/7/202010/3/2024
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty4/28/202012/29/2021
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property4/28/202012/29/2021
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/28/2020 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/28/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/11/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/11/2020 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty3/12/202110/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property3/12/202110/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty3/12/202110/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property3/12/202110/23/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAca Club Insurance Agency, Inc.1033550Agent - Casualty1/22/2020 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Property1/22/2020 

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