DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roby, Lisa J	DOIID	384646	NAIC NPN	7206633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Limited Line Credit	11/12/2002	5/31/2006
Inactive	Resident	Agent	General Lines	11/5/1990	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
* 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 - General Lines	2/6/1992	3/31/1996
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	6/24/1998	3/9/2000
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Countryway Insurance Company	300809	Agent - General Lines	11/5/1990	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	7/1/2002
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	6/22/1998	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	6/22/1998	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	6/22/1998	8/15/2000
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	6/22/1998	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - General Lines	6/28/1993	8/15/2000
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Property	8/15/2000	7/1/2002
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Casualty	8/15/2000	7/1/2002