DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Belanger, Roberta Ann	DOIID	683434	NAIC NPN	10202701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	7/11/2008		9/30/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	11/9/2023		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	07/15/2025	09/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assured Nl Ins Services Inc	769431	Independent Adjuster - Workers' Compensation
Denied	Assuredpartners NL, LLC	762387	Independent Adjuster - Workers' Compensation
Inactive	Core Solutions, LLC	647078	Independent Adjuster - Workers' Compensation	1/16/2009	3/31/2013