DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Burtt, Mathew R	DOIID	775998	NAIC NPN	5723665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/5/2012		7/31/2026
Active	Non Resident	Agent	Personal Lines	3/5/2012		7/31/2026
Active	Non Resident	Agent	Property	3/5/2012		7/31/2026
Active	Non Resident	Agent	Health	3/5/2012		7/31/2026
Active	Non Resident	Agent	Life	3/5/2012		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/07/2024	05/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Harleysville Insurance Company	301462	Agent - Casualty	3/9/2018
Inactive	Harleysville Insurance Company	301462	Agent - Property	3/9/2018	9/11/2023
Active	Harleysville Preferred Insurance Company	638415	Agent - Casualty	3/9/2018
Active	Harleysville Preferred Insurance Company	638415	Agent - Property	3/9/2018
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	8/19/2013	9/19/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	8/19/2013	9/19/2017
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/17/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	5/17/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brown & Brown Insurance Services Inc	637940	Agent - Casualty	6/4/2024
Pending	Brown & Brown Insurance Services Inc	637940	Agent - Health
Active	Brown & Brown Insurance Services Inc	637940	Agent - Property	6/4/2024
Pending	Brown & Brown Insurance Services Inc	637940	Agent - Life