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DEPARTMENT OF INSURANCE
Affiliations
Name
Matta, Mirium Ann
DOIID
1073979
NAIC NPN
18827925
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
2/11/2020
8/31/2022
Inactive
Non Resident
Agent
Property
2/11/2020
8/31/2022
* 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
American Economy Insurance Company
300315
Agent - Casualty
2/20/2020
6/5/2020
Inactive
American Economy Insurance Company
300315
Agent - Property
2/20/2020
6/5/2020
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
5/28/2020
10/19/2020
Inactive
Bristol West Insurance Company
301655
Agent - Property
5/28/2020
10/19/2020
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
5/28/2020
10/19/2020
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
5/28/2020
10/19/2020
Inactive
Liberty Mutual Personal Insurance Company
959584
Agent - Casualty
3/4/2020
6/5/2020
Inactive
Liberty Mutual Personal Insurance Company
959584
Agent - Property
3/4/2020
6/5/2020
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
2/20/2020
6/5/2020
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
2/20/2020
6/5/2020
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
2/20/2020
6/5/2020
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
2/20/2020
6/5/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Awl Insurance Agency Inc
945504
Agent - Casualty
2/20/2020
10/19/2020
Inactive
Awl Insurance Agency Inc
945504
Agent - Property
2/20/2020
10/19/2020
Inactive
Elite Insurance Group, Inc
1068895
Agent - Casualty
6/2/2020
10/19/2020
Inactive
Elite Insurance Group, Inc
1068895
Agent - Property
6/2/2020
10/19/2020
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