DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Matthew	DOIID	1277184	NAIC NPN	17328919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/30/2023		12/31/2025
Active	Non Resident	Agent	Property	5/30/2023		12/31/2025
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/15/2023	12/12/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/15/2023	12/12/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rivian Insurance Services, LLC	1122349	Agent - Casualty	6/15/2023	11/8/2023
Inactive	Rivian Insurance Services, LLC	1122349	Agent - Property	6/15/2023	11/8/2023