DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cermak, Matthew John	DOIID	845464	NAIC NPN	3583521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/14/2014		6/30/2026
Active	Non Resident	Agent	Casualty	7/14/2014		6/30/2026
Active	Non Resident	Agent	Health	7/14/2014		6/30/2026
Active	Non Resident	Agent	Property	7/14/2014		6/30/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/25/2015	6/30/2016
* 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	Arch Insurance Company	300688	Agent - Casualty	8/26/2015	6/22/2020
Inactive	Arch Insurance Company	300688	Agent - Health	8/26/2015	6/22/2020
Inactive	Arch Insurance Company	300688	Agent - Property	8/26/2015	6/22/2020
Active	Continental Casualty Company	301019	Agent - Casualty	2/10/2022
Active	Continental Casualty Company	301019	Agent - Property	2/10/2022
Inactive	CorePointe Insurance Company	300406	Agent - Casualty	8/14/2014	10/4/2017
Inactive	CorePointe Insurance Company	300406	Agent - Property	8/14/2014	10/4/2017
Active	Granite State Insurance Company	300818	Agent - Casualty	8/12/2015
Active	Granite State Insurance Company	300818	Agent - Property	8/12/2015
Active	Illinois National Insurance Company	301367	Agent - Casualty	8/12/2015
Active	Illinois National Insurance Company	301367	Agent - Property	8/12/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/12/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/12/2015
Active	New Hampshire Insurance Company	301670	Agent - Casualty	8/12/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	8/12/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmWins Program Underwriters, Inc	521669	Agent - Casualty	11/22/2017
Active	AmWins Program Underwriters, Inc	521669	Agent - Property	11/22/2017
Inactive	Willis Of Michigan Inc	561744	Agent - Casualty	8/14/2014	11/7/2017
Inactive	Willis Of Michigan Inc	561744	Agent - Property	8/14/2014	11/7/2017