DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Matthew	DOIID	847909	NAIC NPN	17343334

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	10/16/2014	5/16/2022
Inactive	Resident	Agent	Casualty	10/16/2014	5/16/2022
Inactive	Resident	Surplus Lines Broker	Not Applicable	7/15/2019	8/31/2022
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	8/30/2016	5/16/2022
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	8/30/2016	5/16/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/30/2016	5/16/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/30/2016	5/16/2022
Inactive	First Financial Insurance Company	301951	Agent - Casualty	2/15/2017	5/16/2022
Inactive	First Financial Insurance Company	301951	Agent - Property	2/15/2017	5/16/2022
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	7/23/2018	5/16/2022
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	7/23/2018	5/16/2022
Inactive	Verlan Fire Insurance Company	517102	Agent - Casualty	12/6/2016	5/16/2022
Inactive	Verlan Fire Insurance Company	517102	Agent - Property	12/6/2016	5/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	2/27/2017	6/29/2020
Inactive	Risk Placement Services Inc	509419	Agent - Property	2/27/2017	6/29/2020
Inactive	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	7/15/2019	8/31/2022