DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O Brien, Matthew	DOIID	892843	NAIC NPN	17304559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/24/2015	12/31/2022
Inactive	Non Resident	Agent	Property	9/24/2015	12/31/2022
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/30/2020	11/15/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/30/2020	11/15/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/4/2021	3/8/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/4/2021	3/8/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/3/2019	7/27/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/3/2019	7/27/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/3/2019	7/27/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/3/2019	7/27/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/3/2019	7/27/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/3/2019	7/27/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/8/2019	7/31/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/8/2019	7/31/2019
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	11/23/2015	7/31/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	11/23/2015	7/31/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/23/2015	7/31/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/23/2015	7/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Collectors Ins LLC	835172	Agent - Property	10/30/2020	8/13/2021
Inactive	American Collectors Ins LLC	835172	Agent - Casualty	10/30/2020	8/13/2021
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	4/8/2019	8/1/2019
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	4/8/2019	8/1/2019