DEPARTMENT OF INSURANCE

Affiliations

Name	Roth, Matthew William	DOIID	607975	NAIC NPN	8456479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	10/25/2011	3/3/2016
Inactive	Non Resident	Agent	Life	9/19/2014	3/3/2016
Inactive	Non Resident	Agent	Health	9/19/2014	3/3/2016
Inactive	Non Resident	Agent	Property	10/25/2011	3/3/2016
* 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 Fire and Casualty Company	300567	Agent - Casualty	1/15/2013	5/9/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	1/15/2013	5/9/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/2/2013	3/21/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/2/2013	3/21/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	7/20/2005	12/21/2006
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	7/20/2005	12/21/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/16/2012	12/17/2012
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	4/15/2014	3/3/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/15/2013	5/9/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	6/1/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	6/1/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	6/1/2011
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	6/1/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/15/2011	12/21/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/15/2011	12/21/2012
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/15/2011	12/21/2012
Inactive	Grange Insurance Company	300234	Agent - Property	12/15/2011	12/21/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/15/2011	12/21/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/15/2011	12/21/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2014	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2014	12/8/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	1/15/2013	5/9/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/25/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/25/2014	11/3/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/15/2013	5/9/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	1/15/2013	5/9/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/15/2013	5/9/2016
Inactive	Owners Insurance Company	300796	Agent - Casualty	7/20/2005	12/21/2006
Inactive	Owners Insurance Company	300796	Agent - Property	7/20/2005	12/21/2006
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/15/2013	5/9/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/15/2013	5/9/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	1/15/2013	5/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/15/2013	5/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/15/2013	5/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/15/2013	5/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/15/2013	5/9/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/16/2012	12/17/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/16/2012	12/17/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/16/2012	12/17/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	2/16/2012	12/17/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/16/2012	12/17/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/16/2012	12/17/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/16/2012	12/17/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/16/2012	12/17/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/15/2011	12/21/2012
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/15/2011	12/21/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	1/15/2013	5/9/2016
Inactive	West American Insurance Company	301112	Agent - Property	1/15/2013	5/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Property	1/21/2013	6/19/2015
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Casualty	1/21/2013	6/19/2015
Inactive	Roth Wall & Webb Inc	694907	Agent - Property	5/9/2012	12/21/2012
Inactive	Roth Wall & Webb Inc	694907	Agent - Casualty	5/9/2012	12/21/2012
Inactive	Roth Wall & Webb Incorporated	399180	Agent - Property	5/12/2005	6/1/2011
Inactive	Roth Wall & Webb Incorporated	399180	Agent - Casualty	5/12/2005	6/1/2011