DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Jessica Leah	DOIID	584547	NAIC NPN	7998451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	4/22/2004	5/31/2008
Inactive	Resident	Agent	Property	4/22/2004	5/31/2008
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	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/21/2004	6/27/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/21/2004	6/27/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/25/2006	6/27/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/25/2006	6/27/2008
Denied	United Financial Casualty Company	301886	Agent - Casualty
Denied	United Financial Casualty Company	301886	Agent - Property

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sams Insurance Agency Inc.	400980	Agent - Casualty	6/21/2004	5/31/2008
Inactive	Sams Insurance Agency Inc.	400980	Agent - Property	6/21/2004	5/31/2008