DEPARTMENT OF INSURANCE

Affiliations

Name	Klotz, Matthew	DOIID	1288715	NAIC NPN	19050168

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/31/2023	8/31/2027
Active	Non Resident	Agent	Property	7/31/2023	8/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property