DEPARTMENT OF INSURANCE

Affiliations

Name	Kuzma, Matthew	DOIID	778505	NAIC NPN	16584440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/2/2012	6/30/2015
Inactive	Non Resident	Agent	Property	4/2/2012	6/30/2015
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/11/2012	3/31/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/15/2012	3/20/2014
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/15/2012	3/20/2014
Inactive	National General Insurance Company	300152	Agent - Casualty	8/14/2012	3/17/2014
Inactive	National General Insurance Company	300152	Agent - Property	8/14/2012	3/17/2014
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/4/2012	6/13/2012
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/4/2012	6/13/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/11/2012	3/31/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/11/2012	3/31/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/11/2012	3/31/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	10/11/2012	3/31/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/11/2012	3/31/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/11/2012	3/31/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/11/2012	3/31/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/11/2012	3/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	3/27/2013	3/31/2014
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	3/27/2013	3/31/2014
Inactive	CWI, LLC	662170	Agent - Property	10/9/2012	3/31/2014
Inactive	CWI, LLC	662170	Agent - Casualty	10/9/2012	3/31/2014
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	5/10/2013	3/31/2014
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	5/10/2013	3/31/2014
Inactive	National General Ins Marketing Inc	621228	Agent - Property	4/30/2013	3/17/2014
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	4/30/2013	3/17/2014
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/5/2012	6/13/2012
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/5/2012	6/13/2012