DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stauble, Matthew	DOIID	649145	NAIC NPN	9070353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/6/2021		4/30/2025
Active	Non Resident	Agent	Casualty	10/6/2021		4/30/2025
Inactive	Resident	Agent	Life	2/22/2007	5/1/2009
Inactive	Resident	Agent	Health	3/22/2007	5/1/2009
* 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	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	5/26/2016	7/24/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	5/26/2016	7/24/2019
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/26/2016	7/24/2019
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/26/2016	7/24/2019
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	3/22/2007	6/6/2007
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	2/22/2007	6/6/2007
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	5/26/2016	7/24/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	5/26/2016	7/24/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	5/26/2016	7/24/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	5/26/2016	7/24/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/7/2016	9/21/2018
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/7/2016	9/21/2018