DEPARTMENT OF INSURANCE

Affiliations

Name	Bellamy, Roger Dale	DOIID	330329	NAIC NPN	7176842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/7/2010		10/31/2025
Active	Resident	Agent	Casualty	4/7/2010		10/31/2025
Active	Resident	Agent	Health	4/7/2010		10/31/2025
Active	Resident	Agent	Personal Lines	4/7/2010		10/31/2025
Active	Resident	Agent	Life	4/7/2010		10/31/2025
Inactive	Resident	Agent	General Lines	4/30/1979	8/15/2000
* 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	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/1/2009
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	4/15/1996	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/1/2009
Active	American General Life Insurance Company	301585	Agent - Health	11/19/2019
Active	American General Life Insurance Company	301585	Agent - Life	11/19/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/1/2009
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/23/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/1/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/29/2014	7/24/2015
Active	Anthem Life Insurance Company	301209	Agent - Health	12/1/2012
Active	Anthem Life Insurance Company	301209	Agent - Life	12/1/2012
Active	Athene Annuity and Life Company	301893	Agent - Life	11/4/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/29/2010	8/9/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	11/1/2009
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	11/1/2009
Inactive	Celtic Insurance Company	300877	Agent - Health	7/15/1994	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	7/15/1994	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/21/2023
Active	Dairyland Insurance Company	301370	Agent - Property	6/21/2023
Inactive	EMC National Life Company	300388	Agent - Life	6/13/2001	12/12/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/15/2000	12/12/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/15/2000	12/12/2002
Inactive	Encova Life Insurance Company	301818	Agent - Health	2/22/1977	11/1/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	7/15/2014	1/1/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	11/10/2021
Active	Erie Family Life Insurance Company	301400	Agent - Life	11/10/2021
Active	Erie Insurance Company	300230	Agent - Casualty	11/10/2021
Active	Erie Insurance Company	300230	Agent - Property	11/10/2021
Active	Erie Insurance Company of New York	789916	Agent - Casualty	11/10/2021
Active	Erie Insurance Company of New York	789916	Agent - Property	11/10/2021
Active	Erie Insurance Exchange	300789	Agent - Casualty	11/10/2021
Active	Erie Insurance Exchange	300789	Agent - Property	11/10/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	11/10/2021
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	11/10/2021
Inactive	Everly Life Insurance Company	561641	Agent - Life	3/11/2014	9/15/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/9/2004	11/1/2009
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/9/2004	11/1/2009
Active	Flagship City Insurance Company	789965	Agent - Casualty	11/10/2021
Active	Flagship City Insurance Company	789965	Agent - Property	11/10/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2004	11/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2004	11/1/2009
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	8/4/2017	3/22/2022
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	3/18/2011	5/22/2014
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	3/18/2011	5/22/2014
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/14/2013	5/31/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/14/2013	5/31/2019
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/15/2000	12/12/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	3/13/1992	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/15/2000	12/12/2002
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	10/25/1988	8/30/1999
Inactive	Independent Order of Foresters	300743	Agent - Life	5/2/2011	11/24/2017
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	4/26/1993	5/30/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/4/1990	9/29/2000
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/14/2009	11/1/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/14/2009	11/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/5/1979	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	11/1/2009
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	11/8/2022	12/6/2023
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	11/8/2022	12/6/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	6/4/1999	3/21/2001
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	6/4/1999	3/21/2001
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/6/2015	5/15/2019
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/15/2000	11/1/2009
Inactive	MICO Insurance Company	301664	Agent - General Lines	8/16/1989	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	11/1/2009
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	9/9/2014	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	9/9/2014	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	10/8/2022	12/21/2022
Inactive	Medico Insurance Company	301559	Agent - Life	10/8/2022	12/21/2022
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	4/30/1979	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	11/1/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/12/1997	10/15/2007
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/6/2010	3/17/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/9/2004	11/1/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/9/2004	11/1/2009
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	5/21/1997	4/3/2000
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/23/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/23/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/21/1987	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/21/1987	5/20/1999
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/25/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/25/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/24/2009	11/1/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/24/2009	11/1/2009
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/27/1990	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/27/1990	1/30/2004
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/5/2013	4/3/2015
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/5/2013	4/3/2015
Inactive	Time Insurance Company	300683	Agent - Health	2/6/2003	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	2/6/2003	12/29/2008
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/17/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/17/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/17/2017	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	11/17/2017	10/1/2020
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	11/1/2009
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	11/1/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	5/26/1994	11/12/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	5/26/1994	11/12/2003
Inactive	United American Insurance Company	300910	Agent - Health	7/20/1983	11/1/2009
Inactive	United American Insurance Company	300910	Agent - Life	7/20/1983	11/1/2009
Active	United Financial Casualty Company	301886	Agent - Casualty	10/25/2018
Active	United Financial Casualty Company	301886	Agent - Property	10/25/2018
Inactive	United Home Life Insurance Company	300421	Agent - Life	1/8/2013	11/18/2014
Inactive	United States Fire Insurance Company	582240	Agent - Health	7/30/2021	12/27/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/14/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/14/2021
Inactive	Vantis Life Insurance Company	572176	Agent - Life	1/1/2015	8/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bellamy's Insurance Agency	399809	Agent - General Lines	12/7/1987	8/15/2000
Inactive	Bellamy's Insurance Agency	399809	Agent - Property	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency	399809	Agent - Casualty	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Property	8/15/2000	11/1/2009
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Casualty	8/15/2000	11/1/2009
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	9/21/2005	11/1/2009
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	9/21/2005	11/1/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/1/2012
Active	Designated Agent Company Inc.	681257	Agent - Health	12/1/2012
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	11/1/2009
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	11/1/2009
Active	Timothy Hood Enterprises	1011658	Agent - Life	1/22/2019
Active	Timothy Hood Enterprises	1011658	Agent - Health	1/31/2019
Active	Timothy Hood Enterprises	1011658	Agent - Property	1/22/2019
Active	Timothy Hood Enterprises	1011658	Agent - Casualty	1/22/2019
Inactive	Wilkins Ins Agency Inc	852764	Agent - Life	9/4/2018	3/31/2024
Inactive	Wilkins Ins Agency Inc	852764	Agent - Property	9/4/2018	3/31/2024
Inactive	Wilkins Ins Agency Inc	852764	Agent - Casualty	9/4/2018	3/31/2024