DEPARTMENT OF INSURANCE

Affiliations

Name	Hayward Tilton & Rolapp Ins Assoc Inc	DOIID	546670	NAIC NPN	963568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	4/18/2011	3/31/2019
Inactive	Non Resident	Agent	Casualty	4/18/2011	3/31/2019
Inactive	Non Resident	Agent	Property	4/18/2011	3/31/2019
Inactive	Non Resident	Agent	Health	4/18/2011	3/31/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/28/2015	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/28/2015	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/28/2015	10/20/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/12/2011	12/5/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/10/2015	9/24/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/10/2015	9/24/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/12/2011	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	5/12/2011	12/5/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/10/2015	3/31/2019
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/10/2015	3/31/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/21/2011	6/12/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/21/2011	6/12/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/12/2011	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/12/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	5/12/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	5/12/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/12/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/12/2011	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/12/2011	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/12/2011	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/12/2011	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/12/2011	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	5/12/2011	7/13/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	5/12/2011	7/13/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/12/2011	7/13/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/12/2011	7/13/2017
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/12/2011	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/12/2011	12/5/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/12/2011	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/12/2011	12/3/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Moriyama, Stephen Masaru	878842	Agent - Casualty
Inactive	Moriyama, Stephen Masaru	878842	Agent - Health	5/28/2015	10/20/2018
Inactive	Moriyama, Stephen Masaru	878842	Agent - Life	5/28/2015	10/20/2018
Denied	Moriyama, Stephen Masaru	878842	Agent - Property
Inactive	Rolapp, Roger W.	526457	Agent - Casualty	4/18/2011	3/31/2019
Inactive	Rolapp, Roger W.	526457	Agent - Health	4/18/2011	3/31/2019
Inactive	Rolapp, Roger W.	526457	Agent - Life	4/18/2011	3/31/2019
Inactive	Rolapp, Roger W.	526457	Agent - Property	4/18/2011	3/31/2019