black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

KELLY DWAYNE MATUSE

PRODUCER NON-RESIDENT

License Number:
PRN445010
Status:
First Licensure:
02/28/2023
Cancel Date:
None

Mailing:
LEAVENWORTH, KS 66048
Phone:
+1 (913) 727-5500
Fax:
+1 (800) 828-7731
Email:
kelly.matuse@afi.org

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/28/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY
07/01/2025 PCF234561
ARMED FORCES INSURANCE EXCHANGE
05/17/2023 PCF1014
BRISTOL WEST INSURANCE COMPANY
05/26/2023 PCF78370 09/05/2025
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
05/26/2023 PCF445

Authority

Description Issue Date Termination Date Status
CASUALTY 02/28/2023 Active
PROPERTY 02/28/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20577143

Other Addresses

Address Type
LEAVENWORTH, KS 66048
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: 11/15/2025 06:07:02 AM