black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ASSUREDPARTNERS OF MICHIGAN, LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN435795
Status:
First Licensure:
10/29/2022
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3099 BIDDLE AVE
WYANDOTTE, MI 48192-4087
Mailing:
ASSUREDPARTNERS OF MICHIGAN LLC
3099 BIDDLE AVE
WYANDOTTE, MI 48192-4087
Phone:
+1 (864) 626-5592
Email:
kathy.kelleysmith@assuredpartners.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/29/2022 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INDEMNITY INSURANCE COMPANY
02/27/2025 PCF674
ARCH INSURANCE COMPANY
02/27/2025 PCF62719
INDEPENDENCE AMERICAN INSURANCE COMPANY
11/12/2024 PCF86149
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
06/17/2025 LHF250
STARMOUNT LIFE INSURANCE COMPANY
06/17/2025 LHD131525
TIER ONE INSURANCE COMPANY
05/21/2024 LHF952
UNUM INSURANCE COMPANY
06/17/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
06/17/2025 LHD145

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
PAUL DONALD MATTES
10/29/2022 PRN199782

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
PAUL DONALD MATTES PRN199782

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17926640

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/29/2025 07:11:51 AM