black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MATTHEW RICHARD BLAIS

PRODUCER NON-RESIDENT

License Number:
PRN474948
Status:
First Licensure:
01/26/2024
Cancel Date:
None

Mailing:
WEEKI WACHEE, FL 34614
Phone:
+1 (727) 534-1077
Email:
mblais@boltinsurance.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 01/26/2024

Agency

Name Issue Date License Number Expiration Date Cancel Date
BUSINESS OWNERS LIABILITY TEAM LLC
01/30/2024 AGN170901

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLMERICA FINANCIAL ALLIANCE INSURANCE COMPANY
04/29/2025 PCF75617
ALLMERICA FINANCIAL BENEFIT INSURANCE COMPANY
04/29/2025 PCF145893
CITIZENS INSURANCE COMPANY OF AMERICA
04/29/2025 PCF937
THE HANOVER AMERICAN INSURANCE COMPANY
04/29/2025 PCF197298
THE HANOVER INSURANCE COMPANY
04/29/2025 PCF712
MASSACHUSETTS BAY INSURANCE COMPANY
04/29/2025 PCF505
VERLAN FIRE INSURANCE COMPANY
04/29/2025 PCF161934

Authority

Description Issue Date Termination Date Status
CASUALTY 01/26/2024 Active
PROPERTY 01/26/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19774329

Other Addresses

Address Type
11352 MISSISSIPPI KITE AVE
WEEKI WACHEE, FL 34614-4131
Office

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: 05/25/2025 03:57:35 AM