DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Laurie Anne	DOIID	1036081	NAIC NPN	16295273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/10/2019		4/30/2025
Active	Non Resident	Agent	Life	4/9/2019		4/30/2025
Active	Non Resident	Agent	Health	4/9/2019		4/30/2025
Active	Non Resident	Agent	Property	7/25/2019		4/30/2025
Active	Non Resident	Agent	Casualty	7/25/2019		4/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/11/2022		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	11/18/2019	10/11/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/16/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/16/2021
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	8/25/2020	10/14/2022
Inactive	United States Fire Insurance Company	582240	Agent - Property	8/25/2020	10/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Global Benefits Group, Us Inc.	1039138	Agent - Life	5/3/2019	5/23/2024
Inactive	Global Benefits Group, Us Inc.	1039138	Agent - Health	5/3/2019	5/23/2024
Inactive	Global Benefits Group, Us Inc.	1039138	Agent - Casualty	8/26/2020	5/23/2024
Inactive	Global Benefits Group, Us Inc.	1039138	Agent - Property	8/26/2020	5/23/2024
Active	TSS Administrative Serviceses, Inc.	718667	Administrator - Not Applicable	5/15/2019
Denied	Trawick International Inc	803201	Agent - Life
Denied	Trawick International Inc	803201	Agent - Health
Active	Trawick International Inc	803201	Agent - Casualty	11/9/2021
Active	Trawick International Inc	803201	Agent - Property	11/9/2021
Active	Trawick International Inc	803201	Surplus Lines Broker - Not Applicable	5/31/2022