DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hernandez, Matthew	DOIID	999621	NAIC NPN	18515601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/29/2018	9/30/2021
Inactive	Non Resident	Agent	Casualty	6/29/2018	9/30/2021
* 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	Bristol West Insurance Company	301655	Agent - Casualty	7/19/2018	9/24/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/19/2018	9/24/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2018	9/24/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2018	9/24/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	7/24/2019	9/24/2019
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	7/24/2019	9/24/2019