DEPARTMENT OF INSURANCE

Affiliations

Name	Roark, Jerry	DOIID	1094616	NAIC NPN	19615426

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	10/31/2024	10/31/2025
Active	Resident	Agent	Casualty	10/31/2024	10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	9/30/2020	9/14/2023
Inactive	Allstate Indemnity Company	300778	Agent - Property	9/30/2020	9/14/2023
Inactive	Allstate Insurance Company	300773	Agent - Casualty	9/30/2020	9/14/2023
Inactive	Allstate Insurance Company	300773	Agent - Property	9/30/2020	9/14/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/30/2020	9/14/2023
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/30/2020	9/14/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/30/2020	9/14/2023
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/30/2020	9/14/2023
Inactive	American Economy Insurance Company	300315	Agent - Casualty	6/27/2022	11/1/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	6/27/2022	11/1/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/4/2021	11/1/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/4/2021	11/1/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/4/2021	11/1/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/4/2021	11/1/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/5/2021	11/1/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/5/2021	11/1/2023
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/5/2021	11/1/2023
Inactive	Grange Insurance Company	300234	Agent - Property	4/5/2021	11/1/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/5/2021	11/1/2023
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/5/2021	11/1/2023
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/21/2020	11/1/2023
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/21/2020	11/1/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/5/2020	11/1/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/5/2020	11/1/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/1/2022	11/1/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/1/2022	11/1/2023
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/5/2021	11/1/2023
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/5/2021	11/1/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/5/2020	11/1/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	10/5/2020	11/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crystal Messer-Mcqueen & Assoc LLC	909958	Agent - Casualty	4/5/2021	8/4/2023
Inactive	Crystal Messer-Mcqueen & Assoc LLC	909958	Agent - Property	4/5/2021	8/4/2023