DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lange, Matthew	DOIID	641556	NAIC NPN	7369250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/10/2006	10/31/2011
Inactive	Non Resident	Agent	Property	10/10/2006	10/31/2011
* 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	ACE American Insurance Company	300625	Agent - Casualty	9/19/2007	10/31/2011
Inactive	ACE American Insurance Company	300625	Agent - Property	9/19/2007	10/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	10/8/2010	10/31/2011
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	10/8/2010	10/31/2011