DEPARTMENT OF INSURANCE

Affiliations

Name	Roque, Juan Antonio	DOIID	1061625	NAIC NPN	19172640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/16/2021	12/31/2022
Inactive	Non Resident	Agent	Property	9/16/2021	12/31/2022
* 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	Bristol West Insurance Company	301655	Agent - Casualty	9/28/2021	7/20/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/28/2021	7/20/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2021	7/20/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2021	7/20/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/21/2021	8/2/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/21/2021	8/2/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/21/2021	8/2/2022
Inactive	Grange Insurance Company	300234	Agent - Property	9/21/2021	8/2/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/21/2021	8/2/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/21/2021	8/2/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/4/2021	7/18/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/4/2021	7/18/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/22/2019	8/27/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/22/2019	8/27/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/22/2019	8/27/2020
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/21/2021	8/2/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/21/2021	8/2/2022
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/4/2021	7/18/2022
Inactive	United Financial Casualty Company	301886	Agent - Property	10/4/2021	7/18/2022
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	9/29/2021	7/18/2022
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	9/29/2021	7/18/2022
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	9/29/2021	7/18/2022
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	9/29/2021	7/18/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Quantum Assurance International Inc	1054052	Agent - Casualty	10/20/2021	7/12/2022
Inactive	Quantum Assurance International Inc	1054052	Agent - Property	10/20/2021	7/12/2022