DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Richard Lee	DOIID	373914	NAIC NPN	7201894

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	1/31/2018
Inactive	Resident	Agent	Life	1/7/1982	1/31/2018
Inactive	Resident	Agent	Health	1/7/1982	1/31/2018
Inactive	Resident	Agent	General Lines	2/18/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	1/31/2018
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	7/22/2011
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	2/18/1982	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	7/22/2011
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	7/22/2011
Inactive	Allstate Insurance Company	300773	Agent - General Lines	2/18/1982	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	7/22/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	7/22/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	7/22/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/26/2001	1/31/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/26/2001	1/31/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/2/2011	11/7/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/2/2011	11/7/2013
Inactive	Celtic Insurance Company	300877	Agent - Health	4/13/1993	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	4/13/1993	3/31/1997
Inactive	Everlake Life Insurance Company	300873	Agent - Health	1/7/1982	7/22/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/7/1982	7/22/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/2/2011	11/7/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/2/2011	11/7/2013
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/23/1998	7/22/2011
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/17/1996	7/22/2011
Inactive	Pacific Specialty Insurance Company	301846	Agent - Casualty	5/29/2001	2/23/2010
Inactive	Pacific Specialty Insurance Company	301846	Agent - Property	5/29/2001	2/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R.L. Roberts, Inc.	543963	Agent - Life	1/10/2002	6/1/2011
Inactive	R.L. Roberts, Inc.	543963	Agent - Health	1/10/2002	6/1/2011
Inactive	R.L. Roberts, Inc.	543963	Agent - Property	1/10/2002	6/1/2011
Inactive	R.L. Roberts, Inc.	543963	Agent - Casualty	1/10/2002	6/1/2011
Inactive	T.R.U.S.T. Insurance Agency	762764	Agent - Life	9/7/2011	3/31/2013
Inactive	T.R.U.S.T. Insurance Agency	762764	Agent - Health	9/7/2011	3/31/2013
Denied	T.R.U.S.T. Insurance Agency	762764	Agent - Property
Denied	T.R.U.S.T. Insurance Agency	762764	Agent - Casualty