DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Betz, Robert Michael	DOIID	1241181	NAIC NPN	20510133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/8/2022		6/30/2026
Active	Non Resident	Agent	Casualty	11/8/2022		6/30/2026
* 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	04/15/2024	06/30/2024	04/12/2024	04/12/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Independence American Insurance Company	524747	Agent - Casualty	11/13/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/13/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	12/5/2022
Active	United States Fire Insurance Company	582240	Agent - Property	12/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pumpkin Insurance Services Inc	1034415	Agent - Casualty	12/5/2022
Active	Pumpkin Insurance Services Inc	1034415	Agent - Property	12/5/2022