DEPARTMENT OF INSURANCE
Affiliations
NameMatta, Mirium AnnDOIID1073979NAIC NPN18827925
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty2/11/20208/31/2022 
InactiveNon ResidentAgentProperty2/11/20208/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Economy Insurance Company300315Agent - Casualty2/20/20206/5/2020
InactiveAmerican Economy Insurance Company300315Agent - Property2/20/20206/5/2020
InactiveBristol West Insurance Company301655Agent - Casualty5/28/202010/19/2020
InactiveBristol West Insurance Company301655Agent - Property5/28/202010/19/2020
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/28/202010/19/2020
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/28/202010/19/2020
InactiveLiberty Mutual Personal Insurance Company959584Agent - Casualty3/4/20206/5/2020
InactiveLiberty Mutual Personal Insurance Company959584Agent - Property3/4/20206/5/2020
InactiveSAFECO Insurance Company of America300159Agent - Casualty2/20/20206/5/2020
InactiveSAFECO Insurance Company of America300159Agent - Property2/20/20206/5/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty2/20/20206/5/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Property2/20/20206/5/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAwl Insurance Agency Inc945504Agent - Casualty2/20/202010/19/2020
InactiveAwl Insurance Agency Inc945504Agent - Property2/20/202010/19/2020
InactiveElite Insurance Group, Inc1068895Agent - Casualty6/2/202010/19/2020
InactiveElite Insurance Group, Inc1068895Agent - Property6/2/202010/19/2020

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