DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Mathew Allen	DOIID	1209531	NAIC NPN	20348329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/8/2022		9/30/2024
Active	Non Resident	Agent	Casualty	6/8/2022		9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	6/17/2022	6/13/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	6/17/2022	6/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	12/6/2022	6/13/2023
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	12/6/2022	6/13/2023