DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Roxie J	DOIID	578044	NAIC NPN	1631728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/25/2006	3/31/2008
Inactive	Non Resident	Agent	Life	1/25/2006	3/31/2008
Inactive	Non Resident	Agent	Health	1/25/2006	3/31/2008
Inactive	Non Resident	Agent	Casualty	1/25/2006	3/31/2008
* 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	AMEX Assurance Company	301728	Agent - Casualty	8/21/2006	1/22/2007
Inactive	AMEX Assurance Company	301728	Agent - Property	8/21/2006	1/22/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/11/2004	5/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	3/11/2004	5/31/2004
Denied	Financial Insurance Services, Inc.	514710	Agent - Life