black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AGENCY FOR STUDENT HEALTH RESEARCH, INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN484839
Status:
First Licensure:
05/22/2024
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
681 SAN RODOLFO DR
SOLANA BEACH, CA 92075-2001
Mailing:
681 SAN RODOLFO DR
SOLANA BEACH, CA 92075-2001
Phone:
+1 (650) 229-8239
Fax:
+1 (800) 530-0772
Email:
matt.stone@getamsis.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 05/22/2024 04/01/2027

Alias, DBA or Trade Name

Name
AMERICAN SPORTS INSURANCE SERVICES

Employer

Name Issue Date License Number Expiration Date Cancel Date
ARCH INSURANCE COMPANY
06/06/2024 PCF62719

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
NATHAN MARTIN DALENA
05/22/2024 PRN484476
MATTHEW DONALD STONE
03/31/2025 PLN508128

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW DONALD STONE PLN508128

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19396285

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: 10/15/2025 01:40:56 PM