DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	T.R.U.S.T. Insurance Agency DBA : T.R.U.S.T Insurance Agency	DOIID	762764	NAIC NPN	16378738

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/7/2011	3/31/2013
Inactive	Resident	Agent	Life	9/7/2011	3/31/2013
Inactive	Resident	Agent	Casualty	9/7/2011	3/31/2013
Inactive	Resident	Agent	Health	9/7/2011	3/31/2013
* 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	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2011	3/31/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/7/2011	3/31/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/5/2011	3/31/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/5/2011	3/31/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/26/2011	3/31/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/26/2011	3/31/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/26/2011	3/31/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/26/2011	3/31/2013
Inactive	Titan Indemnity Company	300556	Agent - Casualty	3/8/2012	9/17/2012
Inactive	Titan Indemnity Company	300556	Agent - Property	3/8/2012	9/17/2012
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/26/2011	3/31/2013
Inactive	United Financial Casualty Company	301886	Agent - Property	10/26/2011	3/31/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/8/2012	9/17/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/8/2012	9/17/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hall, Johnny Stuart	621939	Agent - Casualty
Denied	Hall, Johnny Stuart	621939	Agent - Property
Inactive	Roberts, Derrick L	356418	Agent - Casualty	9/7/2011	3/31/2013
Inactive	Roberts, Derrick L	356418	Agent - Health	9/7/2011	3/31/2013
Inactive	Roberts, Derrick L	356418	Agent - Life	9/7/2011	3/31/2013
Inactive	Roberts, Derrick L	356418	Agent - Property	9/7/2011	3/31/2013
Denied	Roberts, Richard Lee	373914	Agent - Casualty
Inactive	Roberts, Richard Lee	373914	Agent - Health	9/7/2011	3/31/2013
Inactive	Roberts, Richard Lee	373914	Agent - Life	9/7/2011	3/31/2013
Denied	Roberts, Richard Lee	373914	Agent - Property