DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Burgess, Matthew C	DOIID	848107	NAIC NPN	17340119

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/13/2014	1/31/2024
Inactive	Non Resident	Agent	Casualty	8/13/2014	1/31/2024
* 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	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/9/2014	12/11/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/9/2014	12/11/2023
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	8/15/2014	12/6/2023
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	8/15/2014	12/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Casualty	8/19/2014	12/6/2023
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Property	8/19/2014	12/6/2023