DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts, Dale A	DOIID	718388	NAIC NPN	2227940

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/18/2009	8/6/2012
Inactive	Non Resident	Agent	Casualty	11/18/2009	8/6/2012
* 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	Motorists Mutual Insurance Company	300963	Agent - Casualty	9/30/2010	12/31/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	9/30/2010	12/31/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Buren Ins Group Inc The	733460	Agent - Property	8/2/2010	12/31/2011
Inactive	Buren Ins Group Inc The	733460	Agent - Casualty	8/2/2010	12/31/2011