DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Daniel J	DOIID	311204	NAIC NPN	1783094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		12/31/2024
Active	Non Resident	Agent	Health	2/6/2012		12/31/2024
Active	Non Resident	Agent	Life	2/6/2012		12/31/2024
Active	Non Resident	Agent	Casualty	8/15/2000		12/31/2024
Inactive	Non Resident	Agent	General Lines	2/5/1992	8/15/2000
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/11/2020
Active	Allied Insurance Company of America	793586	Agent - Property	2/11/2020
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008
Active	American Fire and Casualty Company	300567	Agent - Property	10/7/2008
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008
Active	Bristol West Insurance Company	301655	Agent - Property	11/6/2008
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/13/2022
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	10/31/2013	12/27/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	10/31/2013	12/27/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/28/2008	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/28/2008	8/22/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/31/2013	1/27/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/31/2013	1/27/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/28/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/28/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/8/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Property	7/8/2022
Active	MICO Insurance Company	301664	Agent - Casualty	2/3/2023
Active	MICO Insurance Company	301664	Agent - Property	2/3/2023
Active	Milbank Insurance Company	925185	Agent - Casualty	7/5/2020
Active	Milbank Insurance Company	925185	Agent - Property	7/5/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/29/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	10/28/2016
Active	Motorists Mutual Insurance Company	300963	Agent - Property	10/28/2016
Active	Nationwide Assurance Company	300166	Agent - Casualty	10/10/2003
Active	Nationwide General Insurance Company	300603	Agent - Casualty	7/5/2006
Active	Nationwide General Insurance Company	300603	Agent - Property	7/5/2006
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/1/2011
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/1/2011
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/22/2020	12/2/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/22/2020	12/2/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/22/2020	12/2/2020
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/22/2020	12/2/2020
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	1/1/2023
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	2/5/1992	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	1/1/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	2/5/1992	8/15/2000
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	2/5/1992	8/15/2000
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008
Active	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/2/2021
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/2/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/30/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/30/2021
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/28/2008	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/28/2008	8/22/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/23/2008	5/16/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/23/2008	5/16/2018
Active	West American Insurance Company	301112	Agent - Casualty	10/7/2008
Active	West American Insurance Company	301112	Agent - Property	10/7/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NBS Insurance Agency Inc	515576	Agent - Property	4/21/2008
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	4/21/2008
Active	Roth & Reynolds Insurance & Financial Services Inc	1113041	Agent - Property	7/6/2022
Active	Roth & Reynolds Insurance & Financial Services Inc	1113041	Agent - Casualty	7/6/2022
Active	Roth & Reynolds Insurance & Financial Services Inc	1113041	Agent - Life	7/6/2022
Active	Roth & Reynolds Insurance & Financial Services Inc	1113041	Agent - Health	7/6/2022
Inactive	Wagner Ins Services Inc	699941	Agent - Property	6/5/2017	3/31/2021
Inactive	Wagner Ins Services Inc	699941	Agent - Casualty	6/5/2017	3/31/2021