DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sullins, Jordan Matthew	DOIID	1257598	NAIC NPN	18426109

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	2/22/2023		4/30/2024
Pending Replacement	Non Resident	Agent	Casualty	2/22/2023		4/30/2024
* 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	Bristol West Insurance Company	301655	Agent - Casualty	3/8/2023	7/18/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/8/2023	7/18/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/8/2023	7/18/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/8/2023	7/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branch Financial Inc	1120010	Agent - Casualty	3/8/2023	6/27/2023
Inactive	Branch Financial Inc	1120010	Agent - Property	3/8/2023	6/27/2023