DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blais, Matthew Richard	DOIID	1276650	NAIC NPN	19774329

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/25/2023		1/31/2026
Active	Non Resident	Agent	Property	5/25/2023		1/31/2026
* 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
Active	Next Insurance US Company	1083825	Agent - Casualty	8/11/2023
Active	Next Insurance US Company	1083825	Agent - Property	8/11/2023
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/5/2024
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/5/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Business Owners Liability Team LLC	715341	Agent - Casualty	8/11/2023
Active	Business Owners Liability Team LLC	715341	Agent - Property	8/11/2023