DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gallagher, Matthew Edward	DOIID	521209	NAIC NPN	3819193

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/17/2003	6/30/2008
Inactive	Non Resident	Agent	Property	3/16/2001	6/30/2008
Inactive	Non Resident	Agent	Casualty	3/16/2001	6/30/2008
Inactive	Non Resident	Agent	Health	11/17/2003	6/30/2008
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/16/2001	11/7/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/16/2001	11/7/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/17/2003	6/30/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/17/2003	6/30/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professional Direct Agency, Inc.	516123	Agent - Property	12/17/2001	11/7/2003
Inactive	Professional Direct Agency, Inc.	516123	Agent - Casualty	12/17/2001	11/7/2003
Inactive	Professional Direct Agency, Inc.	516123	Agent - Health	1/21/2004	3/31/2008
Inactive	Professional Direct Agency, Inc.	516123	Agent - Life	1/21/2004	3/31/2008