DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Roger A	DOIID	689098	NAIC NPN	5318199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/15/2008	5/31/2011
Inactive	Non Resident	Agent	Casualty	9/15/2008	5/31/2011
Inactive	Non Resident	Agent	Personal Lines	9/15/2008	5/31/2011
Inactive	Non Resident	Agent	Life	9/15/2008	5/31/2011
Inactive	Non Resident	Agent	Property	9/15/2008	5/31/2011
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	11/18/2008	4/26/2011
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	11/18/2008	4/26/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	The NIA Group LLC	541060	Agent - Life
Denied	The NIA Group LLC	541060	Agent - Health
Inactive	The NIA Group LLC	541060	Agent - Property	11/19/2008	5/31/2011
Inactive	The NIA Group LLC	541060	Agent - Casualty	11/19/2008	5/31/2011
Denied	The NIA Group LLC	541060	Agent - Personal Lines