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	Inactive Date
Inactive	Resident	Agent	Property	9/15/2020	11/1/2023
Inactive	Resident	Agent	Casualty	9/15/2020	11/1/2023
* 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	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