black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

MATTHEW EDWARD GUSTAFSON

PRODUCER NON-RESIDENT

License Number:
PRN385657
Status:
First Licensure:
06/12/2021
Cancel Date:
None

Mailing:
GREENSBORO, NC 27410
Phone:
+1 (336) 435-5917
Fax:
+1 (336) 435-0750
Email:
matthew.gustafson@ngic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 06/12/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
06/12/2021 AGN55398
CWI LLC
06/12/2021 AGN173565 04/23/2024
NATIONAL GENERAL INSURANCE MARKETING INC
06/12/2021 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY
01/24/2025 PCF864
ALLSTATE INDEMNITY COMPANY
01/24/2025 PCF522
ALLSTATE INSURANCE COMPANY
01/24/2025 PCF354
ALLSTATE NORTH AMERICAN INSURANCE COMPANY
01/24/2025 PCF401026
ALLSTATE PROPERTY AND CASUALTY INSURANCE COMPANY
01/24/2025 PCF84066
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
09/21/2021 PCF445
INTEGON PREFERRED INSURANCE COMPANY
12/08/2023 PCF873
NATIONAL GENERAL INSURANCE COMPANY
07/01/2024 PCF647
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/24/2021 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/24/2021 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 06/12/2021 Active
PROPERTY 06/12/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19913776

Other Addresses

Address Type
GREENSBORO, NC 27410
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: 06/19/2025 05:02:12 AM