DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien, Matthew	DOIID	664513	NAIC NPN	9692317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	11/26/2007	11/1/2019
Inactive	Resident	Agent	Property	11/26/2007	11/1/2019
Inactive	Resident	Agent	Health	11/26/2007	11/1/2019
Inactive	Resident	Agent	Life	11/26/2007	11/1/2019
* 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	AAA Life Insurance Company	300287	Agent - Health	9/16/2010	11/11/2014
Inactive	AAA Life Insurance Company	300287	Agent - Life	9/16/2010	11/11/2014
Inactive	American General Life Insurance Company	301585	Agent - Health	5/9/2010	11/8/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	5/9/2010	11/8/2012
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	2/1/2010	9/21/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	2/1/2010	9/21/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/1/2011	11/1/2019
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/5/2012	12/9/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014	11/1/2019
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	9/26/2012	11/1/2019
Inactive	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017	6/13/2019
Inactive	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017	6/13/2019
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	3/4/2015	9/25/2015
Inactive	EMCASCO Insurance Company	842790	Agent - Property	3/4/2015	9/25/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	2/11/2014	9/25/2015
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	2/11/2014	9/25/2015
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/13/2012	11/1/2019
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/13/2012	11/1/2019
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/13/2012	11/1/2019
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/13/2012	11/1/2019
Inactive	Encova Life Insurance Company	301818	Agent - Life	3/16/2010	2/4/2019
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	3/1/2013	3/4/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	3/1/2013	3/4/2016
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	3/1/2013	3/4/2016
Inactive	GuideOne Insurance Company	301794	Agent - Property	3/1/2013	3/4/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	3/1/2013	3/4/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	3/1/2013	3/4/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	2/11/2014	9/25/2015
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	2/11/2014	9/25/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/2/2013	12/17/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/2/2013	12/17/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/21/2013	11/14/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	8/21/2012	12/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	8/21/2012	12/31/2016
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/25/2012	11/23/2013
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/25/2012	11/23/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/16/2013	12/23/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/10/2012	12/17/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/10/2012	12/17/2014
Inactive	Standard Insurance Company	300185	Agent - Health	11/22/2012	11/1/2019
Inactive	Standard Insurance Company	300185	Agent - Life	11/22/2012	11/1/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/26/2007	2/17/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/26/2007	2/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	11/26/2007	2/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	11/26/2007	2/17/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/26/2007	2/17/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/26/2007	2/17/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/26/2007	2/17/2010
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	3/29/2013	12/19/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/25/2015	11/1/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/25/2015	11/1/2019
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	3/4/2015	9/25/2015
Inactive	Union Insurance Company of Providence	842791	Agent - Property	3/4/2015	9/25/2015
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	8/8/2012	11/1/2019
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	8/8/2012	11/1/2019
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	8/8/2012	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	8/8/2012	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	11/1/2019
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	11/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	11/1/2017	11/1/2019
Inactive	Insuramax Inc	400061	Agent - Property	1/11/2010	5/21/2015
Inactive	Insuramax Inc	400061	Agent - Casualty	1/11/2010	5/21/2015
Inactive	Insuramax Inc	400061	Agent - Life	5/3/2011	5/21/2015
Inactive	Insuramax Inc	400061	Agent - Health	5/3/2011	5/21/2015
Inactive	The Underwriters Group, Inc	674720	Agent - Property	6/3/2015	5/8/2017
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	6/3/2015	5/8/2017
Inactive	The Underwriters Group, Inc	674720	Agent - Life	6/3/2015	5/8/2017
Inactive	The Underwriters Group, Inc	674720	Agent - Health	6/3/2015	5/8/2017