DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Robert D	DOIID	1218414	NAIC NPN	2140876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/22/2022	5/31/2026
Active	Non Resident	Agent	Health	2/10/2023	5/31/2026
Active	Non Resident	Agent	Life	2/10/2023	5/31/2026
Active	Non Resident	Agent	Casualty	7/22/2022	5/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/22/2022	5/31/2026
* 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	03/15/2024	05/31/2024	04/02/2024	04/02/2024	Yes
Surplus Lines Broker	03/15/2024	05/31/2024	04/02/2024	04/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Continental Casualty Company	301019	Agent - Casualty	3/7/2023
Active	Continental Casualty Company	301019	Agent - Property	3/7/2023
Active	Greenwich Insurance Company	301754	Agent - Casualty	5/25/2023
Active	Greenwich Insurance Company	301754	Agent - Property	5/25/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/1/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/1/2023
Active	XL Specialty Insurance Company	301605	Agent - Casualty	11/1/2022
Active	XL Specialty Insurance Company	301605	Agent - Property	11/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accretive Asset Protection Insurance Solutions LLC	1230096	Agent - Casualty	4/1/2024
Active	Accretive Asset Protection Insurance Solutions LLC	1230096	Agent - Property	4/1/2024
Active	Accretive Asset Protection Insurance Solutions LLC	1230096	Agent - Life	4/1/2024
Active	Accretive Asset Protection Insurance Solutions LLC	1230096	Agent - Health	4/1/2024
Active	Accretive General Agency, Llc	1251180	Agent - Casualty	1/12/2023
Active	Accretive General Agency, Llc	1251180	Agent - Property	1/12/2023
Active	Accretive General Agency, Llc	1251180	Agent - Life	4/1/2024
Active	Accretive General Agency, Llc	1251180	Agent - Health	4/1/2024
Active	Accretive Insurance Solutions, Inc.	1243147	Agent - Casualty	4/1/2024
Active	Accretive Insurance Solutions, Inc.	1243147	Agent - Property	4/1/2024
Active	Accretive Insurance Solutions, Inc.	1243147	Agent - Life	4/1/2024
Active	Accretive Insurance Solutions, Inc.	1243147	Agent - Health	4/1/2024
Active	Accretive Specialty Insurance Solutions, Llc	1246071	Agent - Casualty	12/8/2022
Active	Accretive Specialty Insurance Solutions, Llc	1246071	Agent - Property	12/8/2022
Active	Accretive Specialty Insurance Solutions, Llc	1246071	Surplus Lines Broker - Not Applicable	12/12/2022
Active	Accretive Specialty Insurance Solutions, Llc	1246071	Agent - Life	6/8/2023
Active	Accretive Specialty Insurance Solutions, Llc	1246071	Agent - Health	6/8/2023
Active	Assuredpartners Jamison LLC	597159	Agent - Casualty	2/9/2023
Active	Assuredpartners Jamison LLC	597159	Agent - Property	2/9/2023
Inactive	Assuredpartners Jamison LLC	597159	Surplus Lines Broker - Not Applicable	9/14/2022	4/10/2024
Inactive	Assuredpartners Of New Jersey LLC	828232	Agent - Casualty	7/20/2023	6/20/2024
Inactive	Assuredpartners Of New Jersey LLC	828232	Agent - Property	7/20/2023	6/20/2024
Inactive	Assuredpartners Of New Jersey LLC	828232	Surplus Lines Broker - Not Applicable	7/20/2023	6/20/2024
Denied	Assuredpartners Of New Jersey LLC	828232	Agent - Life
Denied	Assuredpartners Of New Jersey LLC	828232	Agent - Health
Inactive	Assuredpartners Specialty Insurance Brokers LLC	592339	Agent - Casualty	9/27/2022	10/6/2023
Inactive	Assuredpartners Specialty Insurance Brokers LLC	592339	Agent - Property	9/27/2022	10/6/2023
Inactive	Assuredpartners Specialty Insurance Brokers LLC	592339	Surplus Lines Broker - Not Applicable	9/27/2022	10/6/2023
Active	Chamber Insurance Agency Services LLC	521229	Agent - Casualty	2/9/2023
Active	Chamber Insurance Agency Services LLC	521229	Agent - Property	2/9/2023
Active	Chamber Insurance Agency Services LLC	521229	Surplus Lines Broker - Not Applicable	9/28/2022
Active	Synergy Professional Assoc Inc	614053	Agent - Casualty	11/1/2022
Active	Synergy Professional Assoc Inc	614053	Agent - Property	11/1/2022
Active	Synergy Professional Assoc Inc	614053	Surplus Lines Broker - Not Applicable	7/25/2022