DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kern, Matthew	DOIID	902227	NAIC NPN	16155097

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/18/2015		4/30/2025
Active	Non Resident	Agent	Property	12/18/2015		4/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/8/2016		4/30/2025
* 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	Zurich American Insurance Company	301121	Agent - Casualty	2/27/2017	10/20/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/27/2017	10/20/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	3/1/2017	10/17/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	3/1/2017	10/17/2017
Inactive	USI Insurance Services National, Inc	509421	Surplus Lines Broker - Not Applicable	3/1/2017	10/17/2017