DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Terina A	DOIID	320743	NAIC NPN	7168136

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/13/1998	7/1/2002
Inactive	Resident	Agent	Casualty	3/9/2005	7/1/2006
Inactive	Resident	Agent	Property	3/9/2005	7/1/2006
Inactive	Resident	Agent	General Lines	11/5/1997	3/3/2000
* 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	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	11/4/2005	3/13/2006
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	11/4/2005	3/13/2006
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/16/2005	4/27/2006
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/16/2005	4/27/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	6/1/2005	7/1/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	6/1/2005	7/1/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/1/2005	7/1/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/1/2005	7/1/2006
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	11/15/2005	4/27/2006
Inactive	Farmers Insurance Exchange	300336	Agent - Property	11/15/2005	4/27/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/1/2005	7/1/2006
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/1/2005	7/1/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/1/2006	7/1/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/1/2006	7/1/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/13/2005	4/27/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/13/2005	4/27/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/13/2005	4/27/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/13/2005	4/27/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/13/2005	4/27/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	6/1/2005	7/1/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	6/1/2005	7/1/2006
Inactive	Primerica Life Insurance Company	300970	Agent - Life	3/27/2000	7/1/2002
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/20/2005	3/22/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/20/2005	3/22/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/20/2005	3/22/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/20/2005	3/22/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/13/2005	4/27/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	11/5/1997	3/3/2000
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	11/5/1997	3/3/2000
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/13/1998	3/3/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	11/5/1997	3/3/2000
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	8/26/2005	4/27/2006
Inactive	Stillwater Insurance Company	567181	Agent - Property	8/26/2005	4/27/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/13/2005	4/27/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	6/13/2005	4/27/2006
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	3/22/2006
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	3/22/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Casualty	6/6/2005	7/1/2006
Inactive	Mary Mathis Insurance Agency Inc.	400855	Agent - Property	6/6/2005	7/1/2006