DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wittenmeier, Forrest Matthew	DOIID	857928	NAIC NPN	8334532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/24/2014		8/31/2026
Active	Non Resident	Agent	Casualty	10/24/2014		8/31/2026
* 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	Hartford Fire Insurance Company	300628	Agent - Casualty	4/14/2016	9/26/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/14/2016	9/26/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	ABD Insurance And Financial Services, Inc.	794351	Agent - Property
Denied	ABD Insurance And Financial Services, Inc.	794351	Agent - Casualty
Inactive	Newfront Insurance Services, LLC	988910	Agent - Property	3/30/2018	9/26/2019
Inactive	Newfront Insurance Services, LLC	988910	Agent - Casualty	3/30/2018	9/26/2019
Inactive	Yourpeople Inc	844313	Agent - Property	4/14/2016	8/21/2017
Inactive	Yourpeople Inc	844313	Agent - Casualty	4/14/2016	8/21/2017