DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Matuse, Kelly Dwayne	DOIID	1258319	NAIC NPN	20577143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/27/2023		7/31/2026
Active	Non Resident	Agent	Casualty	2/27/2023		7/31/2026
* 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	05/15/2024	07/31/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	8/14/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	8/14/2023
Active	Armed Forces Insurance Exchange	301448	Agent - Casualty	5/17/2023
Active	Armed Forces Insurance Exchange	301448	Agent - Property	5/17/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/26/2023
Active	Bristol West Insurance Company	301655	Agent - Property	5/26/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/26/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	5/17/2023
Active	Armed Forces Ins Agency Inc -000	553779	Agent - Property	5/17/2023