DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Travis, Robert A	DOIID	761222	NAIC NPN	1978472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/18/2011	8/31/2020
Inactive	Non Resident	Agent	Health	3/11/2015	8/31/2020
Inactive	Non Resident	Agent	Property	8/18/2011	8/31/2020
Denied	Non Resident	Managing General Agent	Not Applicable
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/24/2017	8/31/2020
* 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 Alternative Insurance Corporation	301697	Agent - Casualty	6/13/2018	4/8/2019
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	6/13/2018	4/8/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/13/2018	8/31/2020
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/13/2018	8/31/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/13/2018	8/31/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/13/2018	8/31/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/26/2011	8/31/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/26/2011	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Community Association Underwriters Of America, Inc.	608111	Agent - Casualty	7/6/2017	5/30/2019
Inactive	Community Association Underwriters Of America, Inc.	608111	Agent - Property	7/6/2017	5/30/2019
Inactive	Community Association Underwriters Of America, Inc.	608111	Agent - Health	4/24/2015	5/30/2019
Denied	Community Association Underwriters Of America, Inc.	608111	Managing General Agent - Not Applicable
Inactive	Community Association Underwriters Of America, Inc.	608111	Surplus Lines Broker - Not Applicable	7/10/2017	4/22/2020